Individual
DR. JEFFREY RONALD GRAZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
450 CENTRAL AVE, SUITE 102, LANCASTER, NY 14086-1262
(716) 683-6615
(716) 685-2052
Mailing address
450 CENTRAL AVE, SUITE 102, LANCASTER, NY 14086-1262
(716) 683-6615
(716) 685-2052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006068
NY
Other
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
Enumeration date
06/14/2006
Last updated
07/08/2007
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