Provider Demographics
NPI:1548300874
Name:GRICE, DOROTHY ELLEN (MD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:ELLEN
Last Name:GRICE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:467 CENTRAL PARK W
Mailing Address - Street 2:APT 2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-3883
Mailing Address - Country:US
Mailing Address - Phone:646-784-1845
Mailing Address - Fax:646-224-8099
Practice Address - Street 1:685 WEST END AVE
Practice Address - Street 2:SUITE 1AF
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:646-784-1845
Practice Address - Fax:646-224-8099
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2012-08-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2432572084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE34998Medicare UPIN
NJ085352Medicare ID - Type Unspecified