NPI 1043492499

Michael T. Grant, M.D., P.C.

Organisation Specialist West Seneca, NY

Practice location

Address: 550 Orchard Park Rd Building B, Suite 105, West Seneca, NY 14224-2646
Phone: (716) 677-6404
Fax: (716) 677-6407

Authorised official

Name: Michael Thomas Grant
Title: Owner
Phone: (716) 677-6404

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 147528 (NY)

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Registry record

NPI: 1043492499
Entity type: Organization
NPI issued: 28 Nov 2007
Record last updated: 19 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.