Provider Demographics
NPI:1639432859
Name:GRAUS, JOSEF
Entity Type:Individual
Prefix:
First Name:JOSEF
Middle Name:
Last Name:GRAUS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:284 WALLABOUT ST
Mailing Address - Street 2:APT. 7-A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-4927
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:284 WALLABOUT ST
Practice Address - Street 2:APT. 7-A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-4927
Practice Address - Country:US
Practice Address - Phone:347-512-4228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTEACHER ID# 2320022174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist