| Jeffery Jerome Grace, Md, Pc | |
|
1300 Niagara St Buffalo NY 14213-1503 | |
| (716) 882-1221 | |
| (716) 884-0602 |
| Full Name | Jeffery Jerome Grace, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1300 Niagara St, Buffalo, New York |
| Authorized Official Name and Position | Jeffery Jerome Grace (PRESIDENT) |
| Authorized Official Contact | 7168821221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Jerome Grace, Md, Pc Po Box 1053 Buffalo NY 14213-7053 Ph: (716) 882-1221 | Jeffery Jerome Grace, Md, Pc 1300 Niagara St Buffalo NY 14213-1503 Ph: (716) 882-1221 |
| NPI Number | 1891024113 |
|---|---|
| Provider Enumeration Date | 12/16/2009 |
| Last Update Date | 12/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891024113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 163371 (New York) | Primary |
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