Individual
STEPHEN GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL EMERGENCY DEPT, MOUNT KISCO, NY 10549-3417
(914) 666-1254
(914) 666-1268
Mailing address
400 E MAIN ST, NORTHERN WESTCHESTER HOSPITAL, MEDICAL AFFAIRS, MOUNT KISCO, NY 10549-3417
(914) 666-1200
(914) 666-1965
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
133867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093405
GHI HMO PROVIDER ID#
—
01
—
0511100000034
FIDELISCARE PROVIDER ID#
—
01
—
10112151-D815
CDPHP PROV & GRP PIN
—
01
—
2665341
AETNA HMO PROVIDER ID#
—
01
—
2H7971
EMPIRE BCBS PROVIDER PIN#
—
01
—
4147732
MVP HEALTHPLAN ID #
—
01
—
4702133
GHI PPO PROVIDER ID
—
01
—
5C7511
HEALTHNET PROVIDER ID#
—
01
—
77599226
AETNA PPO PROVIDER ID#
—
01
—
P1974829
OXFORD HEALTHPLAN ID #
—
Enumeration date
08/31/2005
Last updated
01/22/2014
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