Provider Demographics
NPI:1235700071
Name:BELL, GRACE C (MS)
Entity type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:C
Last Name:BELL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 THEODORE TRL
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-6173
Mailing Address - Country:US
Mailing Address - Phone:845-709-5232
Mailing Address - Fax:
Practice Address - Street 1:22 THEODORE TRL
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-6173
Practice Address - Country:US
Practice Address - Phone:845-709-5232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist