Individual
DR. KEITH GRAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 PORTLAND AVE, SUITE 305, ROCHESTER, NY 14621-3038
(585) 922-4638
(585) 922-5573
Mailing address
1415 PORTLAND AVE, SUITE 305, ROCHESTER, NY 14621-3038
(585) 922-4638
(585) 922-5573
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
227072
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02825152
—
NY
Enumeration date
05/17/2006
Last updated
05/12/2010
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