Organization
JEFFERY JEROME GRACE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY JEROME GRACE M.D. (PRESIDENT)
(716) 882-1221
Entity
Organization
Contact information
Practice address
1300 NIAGARA ST, BUFFALO, NY 14213-1503
(716) 882-1221
(716) 884-0602
Mailing address
PO BOX 1053, BUFFALO, NY 14213-7053
(716) 882-1221
(716) 884-0602
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
163371
NY
Other
Enumeration date
12/16/2009
Last updated
12/16/2009
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