Provider Demographics
NPI:1467776864
Name:FRANK L GRAYSON
Entity Type:Organization
Organization Name:FRANK L GRAYSON
Other - Org Name:GRAYSON CHIROPRACTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRAYSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:585-271-6080
Mailing Address - Street 1:121 RUE DE VL
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 VL
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10394CMedicare PIN
NY10394DMedicare PIN