Individual
THOMAS AUSTIN GRADY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 WEST SIXTH STREET, STE 270, PHYSICIAN CARE PC, OSWEGO, NY 13126
(315) 349-5752
(315) 349-5769
Mailing address
110 W 6TH ST, OSWEGO, NY 13126-2507
(315) 349-5511
(315) 349-5921
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
211331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01875598
—
NY
Enumeration date
07/14/2005
Last updated
03/29/2023
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