# DR. JEFFREY RONALD GRAZEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1033152129
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X006068 | NY | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 002259271 | BLUE CROSS/BLUE SHLD WNY | NY |
| 01 | — | 16150318701 | PRISM HEALTH NETWORKS | NY |
| 01 | — | 605089 | ACN | NY |
| 01 | — | 63679 | GHI | NY |
| 01 | — | 8809354 | INDEPENDENT HEALTH ASSOC | NY |
| 01 | — | C06068-3 | WORKERS COMPENSATION | NY |