Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 151465 | NY |
N | 207VG0400X | Gynecologist | 151465 | NY |
NPI | 1225123433 |
---|---|
Provider Name | Dr. Richard V Grazi |
First Address | Brooklyn, NY 11204 |
Second Address | Brooklyn, NY 11204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 26/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A60152 | (02) | NY |