Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 131438-1 | NY |
NPI | 1285883942 |
---|---|
Provider Name | Dr. Joel Barry Grad |
First Address | New York, NY 10022-6102 |
Second Address | New York, NY 10022-6102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2008 |
Last Update Date | 17/09/2008 |