Individual
MR. JAMES GRIMMER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1410 PINE AVE, NIAGARA FALLS, NY 14301-1922
(716) 228-9565
Mailing address
236 WILLOWGROVE S, TONAWANDA, NY 14150-4517
(716) 228-9565
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005121
NY
225700000X
Massage Therapist
021911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13551676
CAQH
NY
Enumeration date
05/11/2015
Last updated
05/11/2015
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