Provider Demographics
NPI:1134327935
Name:STEVEN V GRABIEC PHYSICIAN PC
Entity Type:Organization
Organization Name:STEVEN V GRABIEC PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:GRABIEC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-298-3541
Mailing Address - Street 1:6930 WILLIAMS RD
Mailing Address - Street 2:SUITE 3700
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-3027
Mailing Address - Country:US
Mailing Address - Phone:716-298-3541
Mailing Address - Fax:716-298-3543
Practice Address - Street 1:6930 WILLIAMS RD
Practice Address - Street 2:SUITE 3700
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-3027
Practice Address - Country:US
Practice Address - Phone:716-298-3541
Practice Address - Fax:716-298-3543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109038174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB36045Medicare UPIN
NYR83104Medicare UPIN