Provider Demographics
NPI:1992819031
Name:GRAZI, VICTOR M (MD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:M
Last Name:GRAZI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1107 FIFTH AVENUE
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1203
Mailing Address - Country:US
Mailing Address - Phone:212-410-6700
Mailing Address - Fax:212-722-3410
Practice Address - Street 1:1107 FIFTH AVENUE
Practice Address - Street 2:SUITE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1203
Practice Address - Country:US
Practice Address - Phone:212-410-6700
Practice Address - Fax:212-722-3410
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
NY168461207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY33E95XVPQ1Medicare PIN