Provider Demographics
NPI:1265694871
Name:GRAZIADEI, ALLISON DOYLE (MD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:DOYLE
Last Name:GRAZIADEI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:1783 ROUTE 9 STE 203
Practice Address - Street 2:
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-2466
Practice Address - Country:US
Practice Address - Phone:518-213-6910
Practice Address - Fax:518-213-6932
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2023-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RILP01372207RE0101X
NY257452207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03246742Medicaid