Provider Demographics
NPI:1225123433
Name:GRAZI, RICHARD V (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:V
Last Name:GRAZI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:GENESIS FERTILITY & REPRODUCTIVE MEDICINE
Mailing Address - Street 2:6010 BAY PARKWAY, FIFTH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204
Mailing Address - Country:US
Mailing Address - Phone:718-283-8600
Mailing Address - Fax:718-283-6580
Practice Address - Street 1:GENESIS FERTILITY & REPRODUCTIVE MEDICINE
Practice Address - Street 2:6010 BAY PARKWAY, FIFTH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204
Practice Address - Country:US
Practice Address - Phone:718-283-8600
Practice Address - Fax:718-283-6580
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY151465207VG0400X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA60152Medicare UPIN