Individual
DR. JON GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263
(716) 845-2300
Mailing address
30 S CAYUGA RD, WILLIAMSVILLE, NY 14221-6728
(716) 632-1088
(716) 632-7842
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
189382-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01747231
—
NY
Enumeration date
07/25/2006
Last updated
07/15/2019
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