Individual
DR. JEFFERY JEROME GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2949 ELMWOOD AVE STE 201, BUFFALO, NY 14217-1356
(716) 907-4675
(716) 882-1229
Mailing address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2003
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
163371
NY
Other
Enumeration date
05/27/2006
Last updated
12/08/2023
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