Provider Demographics
NPI:1821252842
Name:VICTOR M. GRAZI, M.D., ANDREW R. KRAMER, M.D., JONATHAN LANZKOWSKY, M.
Entity Type:Organization
Organization Name:VICTOR M. GRAZI, M.D., ANDREW R. KRAMER, M.D., JONATHAN LANZKOWSKY, M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-410-6700
Mailing Address - Street 1:1107 5TH AVE
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0145
Mailing Address - Country:US
Mailing Address - Phone:212-410-6700
Mailing Address - Fax:212-722-3410
Practice Address - Street 1:1107 5TH AVE
Practice Address - Street 2:SUITE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0145
Practice Address - Country:US
Practice Address - Phone:212-410-6700
Practice Address - Fax:212-722-3410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty