Provider Demographics
NPI:1073654851
Name:GRAYSON, DANIEL FRANCIS (DC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:FRANCIS
Last Name:GRAYSON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 RUE DE VILLE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618-5619
Mailing Address - Country:US
Mailing Address - Phone:585-271-6080
Mailing Address - Fax:585-271-6816
Practice Address - Street 1:121 RUE DE VILLE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-5619
Practice Address - Country:US
Practice Address - Phone:585-271-6080
Practice Address - Fax:585-271-6816
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY35551111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10394CMedicare PIN