| Doctor Name: | GRACE G JORGENSEN |
| NPI Number: | 1255338927 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 076749 |
| Business Practice Address: | 2210 Troy Schenectady Rd Niskayuna, NY - 123094725 |
| Business Phone Number: | 5183466400 |
| Business Fax Number: | |
| Mailing Address: | Po Box 11226, ALBANY |
| State: | NY |
| Postal Code: | 122110226 |
| Phone Number: | 5183466400 |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 076749 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |