Organization Name: | MICHAEL T. GRANT, M.D., P.C. |
NPI Number: | 1043492499 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL THOMAS GRANT (OWNER) |
Mailing Address: | 550 Orchard Park Rd Building B, Suite 105 West Seneca |
State: | NY US |
Postal Code: | 142242646 |
Phone Number: | 7166776404 |
Fax Number: | 7166776407 |
NPI Enumeration Date: | 11/28/2007 |
NPI Last Update Date: | 02/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 147528 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |