Individual
DR. BLASE J GRAYSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
130 E MAIN ST, WEBSTER, NY 14580-3230
(585) 265-1317
(585) 265-1317
Mailing address
130 E MAIN ST, WEBSTER, NY 14580-3230
(585) 265-1317
(585) 265-1317
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3554-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100110AN
PREFERRED CARE
NY
01
—
16-1408974-01
PRISM
NY
01
—
7401321
AETNA
NY
Enumeration date
03/24/2006
Last updated
07/08/2007
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