National Provider Identifier

Grace S Candelario, MD

Grace S Candelario, MD is listed in the NPPES registry with a primary specialty of Hospitalist Physician in Newark, NY and a listed phone number of (585) 922-5067.

NPI 1144253725Newark, NYHospitalist Physician

Profile Overview

NPI
1144253725
Provider Type
Individual
Primary Specialty
Hospitalist Physician
Enumeration Date
July 08, 2006
Last Updated
November 13, 2012

Practice Location

  • 1200 Driving Park Ave
  • Newark, NY 14513-1057

Phone: (585) 922-5067

Specialties

  • Hospitalist Physician (208M00000X)
  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1144253725
Entity Type
Individual
Last Name
Candelario
First Name
Grace
Middle Name
S
Credential
MD
Mailing Street Address
1200 Driving Park Ave
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1057
Mailing Country
US
Mailing Phone
(585) 922-5067
Practice Street Address
1200 Driving Park Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1057
Practice Country
US
Practice Phone
(585) 922-5067
Enumeration Date
July 08, 2006
Last Updated
November 13, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Hospitalist Physician (208M00000X), Internal Medicine Physician (207R00000X)
Other Identifiers
02640215 (NY)