Doctor Name: | DR. JOSEPH M GRISANTI |
NPI Number: | 1093825721 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 1652741 |
Business Practice Address: | 3055 Southwestern Blvd Suite 100 Orchard Park, NY - 141271231 |
Business Phone Number: | 7166752500 |
Business Fax Number: | 7166752590 |
Mailing Address: | 3055 Southwestern Blvd, Suite 100 ORCHARD PARK |
State: | NY |
Postal Code: | 141271231 |
Phone Number: | 7166752500 |
Fax Number: | 7166752590 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1652741 |
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. |