Individual
DR. NATHAN MICHAEL GRABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4422 3RD AVE, DEPARTMENT OF PEDIATRICS - SAINT BARNABAS HOSPITAL, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
228929
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02622342
—
NY
Enumeration date
07/12/2006
Last updated
05/21/2021
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