Jeffery Jerome Grace, MD, PC
Psychiatry & Neurology, Psychiatry in Buffalo, NY. Organization (NPI-2).
NPI number1891024113
StatusActive
Last updated in NPPESDec 16, 2009
Details
- NPI
- 1891024113
- Entity type
- Organization (NPI-2)
- Legal business name
- Jeffery Jerome Grace, MD, PC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2009
- Last updated
- Dec 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 163371 | NY | Yes |
Practice location
1300 Niagara StBuffalo, NY 14213-1503
Phone 716-882-1221 · Fax 716-884-0602
Mailing address
Po Box 1053Buffalo, NY 14213-7053
Phone 716-882-1221 · Fax 716-884-0602
Authorized official
Jeffery Jerome Grace
President
7168821221
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