Individual
DR. GRAIG ADAM FISCHGRUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
372 S OYSTER BAY RD, HICKSVILLE, NY 11801-3529
(516) 915-1555
Mailing address
18 SHADOW LN, WOODBURY, NY 11797-2222
(201) 572-9028
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
056265
NY
1223P0300X
Periodontics
22DI02498300
NJ
Other
Enumeration date
04/18/2012
Last updated
06/15/2023
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