Provider Demographics
NPI:1124433602
Name:GRAUER, YEKATERINA (DPM)
Entity type:Individual
Prefix:DR
First Name:YEKATERINA
Middle Name:
Last Name:GRAUER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:YEKATERINA
Other - Middle Name:
Other - Last Name:NARODETSKAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMP
Mailing Address - Street 1:26 BROADWAY STE 931
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-1710
Mailing Address - Country:US
Mailing Address - Phone:917-261-4291
Mailing Address - Fax:917-594-4881
Practice Address - Street 1:26 BROADWAY STE 931
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1710
Practice Address - Country:US
Practice Address - Phone:917-261-4291
Practice Address - Fax:917-594-4881
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006811-01213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery