MEDICARE: STEVEN V GRABIEC PHYSICIAN PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	109038	NY

General Provider Information

NPI Number	:	1134327935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN V GRABIEC PHYSICIAN PC

Provider Business Mailing Address
First Line	:	6930 WILLIAMS RD
Second Line	:	SUITE 3700
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14304-3027
Country	:	US
Telephone Number	:	716-298-3541
Fax Number	:	716-298-3543

Provider Business Practice Location Address
First Line	:	6930 WILLIAMS RD
Second Line	:	SUITE 3700
City	:	NIAGARA FALLS
State	:	NY
Zip	:	14304-3027
Country	:	US
Telephone Number	:	716-298-3541
Fax Number	:	716-298-3543

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. STEVEN VINCENT GRABIEC
Credential	:	MD
Telephone Number	:	716-298-3541

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/27/2011

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