Provider Demographics
NPI:1164434114
Name:GRASA, GABRIELA (MD)
Entity Type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:
Last Name:GRASA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:688 WHITE PLAINS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5015
Practice Address - Country:US
Practice Address - Phone:914-722-6300
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221338207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
1557385002OtherCIGNA
221338NYOtherLOCAL 1199
OH4258OtherHEALTH NET
NY060065811OtherRAILROAD MEDICARE
2144300OtherUNITED HEALTHCARE
000000057141OtherGHI HMO
NY02372163Medicaid
2102736OtherGHI PPO CBP
NY221338OtherHIP
32242OtherCONTRACT MANAGEMENT ORGAN
NY419Q01OtherEMPIRE BLUE CROSS
P2535574OtherOXFORD
32242OtherCONTRACT MANAGEMENT ORGAN
OH4258OtherHEALTH NET