Provider Demographics
NPI:1437183183
Name:GAIOTTI-GRUBBS, DARCI A (MD)
Entity Type:Individual
Prefix:
First Name:DARCI
Middle Name:A
Last Name:GAIOTTI-GRUBBS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:100 PARK STREET
Mailing Address - Street 2:GLENS FALLS HOSPITAL - CREDENTIALING
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-4413
Mailing Address - Country:US
Mailing Address - Phone:518-926-5924
Mailing Address - Fax:518-926-6983
Practice Address - Street 1:102 PARK ST
Practice Address - Street 2:CR WOOD CANCER CENTER
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4449
Practice Address - Country:US
Practice Address - Phone:518-926-6620
Practice Address - Fax:518-926-1954
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2021-06-29
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Provider Licenses
StateLicense IDTaxonomies
NY252440207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00776468OtherRR MEDICARE
NY03108963Medicaid
NYP00776468OtherRR MEDICARE