Individual
DR. MICHAEL J GRIECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 1ST AVE, NBV 15S12, NEW YORK, NY 10016-6402
(212) 263-6509
Mailing address
550 1ST AVE, NBV 15S12, NEW YORK, NY 10016-6402
(212) 263-6509
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
280090
NY
208600000X
Surgery Physician
ME116323
FL
208C00000X
Colon & Rectal Surgery Physician
Primary
280090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009175000
—
FL
01
—
14R3A
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/12/2009
Last updated
04/18/2024
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