Individual
ALLAN GRAYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
350 FIFTH AVE, SUITE 5222, NEW YORK, NY 10118
(212) 279-1174
(212) 594-8936
Mailing address
333 EAST 30 ST, #16C, NEW YORK, NY 10016
(212) 279-1174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30664
NY
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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