Provider Demographics
NPI:1497862395
Name:THOMAS D KERENYI, MD, JONATHAN SCHER, MD, VICTOR M GRAZI, MD, PC
Entity Type:Organization
Organization Name:THOMAS D KERENYI, MD, JONATHAN SCHER, MD, VICTOR M GRAZI, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-427-7400
Mailing Address - Street 1:1126 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1203
Mailing Address - Country:US
Mailing Address - Phone:212-427-7400
Mailing Address - Fax:212-289-6793
Practice Address - Street 1:1126 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1203
Practice Address - Country:US
Practice Address - Phone:212-427-7400
Practice Address - Fax:212-289-6793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWXVPQ1Medicare PIN