Dr. Jon Grande, M.D.
Anesthesiology in Buffalo, NY. Individual provider (NPI-1).
NPI number1679596332
StatusActive
Last updated in NPPESJul 15, 2019
Details
- NPI
- 1679596332
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jon Grande
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Jul 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 189382-1 | NY | Yes |
Practice location
Elm And Carlton StreetsBuffalo, NY 14263
Phone 716-845-2300
Mailing address
30 S Cayuga RdWilliamsville, NY 14221-6728
Phone 716-632-1088 · Fax 716-632-7842
Other practice locations
30 S Cayuga Rd
Williamsville, NY 14221-6728
Williamsville, NY 14221-6728
Phone 716-632-1088 · Fax 716-632-7842
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