IndividualActive
Ann Gracer, PHD
NPI 1063407054 · Group Psychotherapy Psychologist · Fresh Meadows, NY
Provider details
- NPI number
- 1063407054
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 01778 (NY)
Practice location
6724 165th St
Fresh Meadows, NY 11365-3204
Phone: (718) 463-4640
Fax: (718) 463-4655
Mailing address
6724 165th St
Fresh Meadows, NY 11365-3204
Registry dates
- Enumerated
- 2005-09-15
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.