Provider Demographics
NPI:1346804119
Name:GRATCH, DANIEL ELIEZER (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ELIEZER
Last Name:GRATCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 E 77TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1908
Mailing Address - Country:US
Mailing Address - Phone:212-434-6400
Mailing Address - Fax:212-434-2279
Practice Address - Street 1:176 E 77TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1908
Practice Address - Country:US
Practice Address - Phone:212-434-6400
Practice Address - Fax:212-434-2279
Is Sole Proprietor?:No
Enumeration Date:2019-04-27
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY321667-012084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology