Individual
JACOB GRAUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5033 TRANSIT RD, WILLIAMSVILLE, NY 14221-4132
(716) 565-0261
Mailing address
5033 TRANSIT RD, WILLIAMSVILLE, NY 14221-4132
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
010414
NY
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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