Provider Demographics
NPI:1730441387
Name:GRACIANO, ONELIA RIOS (MSED)
Entity type:Individual
Prefix:MRS
First Name:ONELIA
Middle Name:RIOS
Last Name:GRACIANO
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 8TH AVE APT 3B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-3497
Mailing Address - Country:US
Mailing Address - Phone:917-930-5663
Mailing Address - Fax:
Practice Address - Street 1:2611 8TH AVE APT 3B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-3497
Practice Address - Country:US
Practice Address - Phone:917-930-5663
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator