MARTHA S GRAYSON MD NPI 1033210661

NPI Information

NPI: 1033210661
Provider Name: MARTHA S GRAYSON, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
170 W 12TH ST
MEDICINE/ GENERAL
NEW YORK, NY
ZIP 10011
Phone: (212) 356-4474
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Martha S Grayson, MD is a general practice in New York, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Martha S Grayson, MD NPI is 1033210661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

170 W 12TH ST
MEDICINE/ GENERAL
NEW YORK, NY
ZIP 10011-202
Phone: (212) 356-4474
Fax: (212) 356-4608

The enumeration date for this NPI number is 9/26/2006 and was last updated on 3/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		143595	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	01009287	MEDICAID	NEW YORK
2	E87276	MEDICARE UPIN
3	32F08	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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