Vincent Gravano MD

NPI 1033392063 - Internal Medicine - 207R00000X

NPI Details
NPI 1033392063
Gender Male
Enumeration Date 12/13/2007
Last Updated 07/07/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1487 RICHMOND RD
STATEN ISLAND NY, 10304-2311, US
Phone (718) 979-3643
Fax
Business Location
240 FOUR CORNERS RD
STATEN ISLAND NY, 10304-1237, US
Phone (718) 979-6439
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 087251
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According to our database, Dr. Vincent Gravano MD NPI is 1033392063, taxonomy code is 207R00000X and license number is 087251, license state is located at New York. Vincent Gravano MD physically located at 1487 Richmond Rd, Staten Island NY, 10304-2311. NPI Number Vincent Gravano MD has the Individual type.

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1033392063 NPI number is provided on an as is basis without warranty of any kind. 1033392063 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent Gravano MD are for informational purposes only.