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NPI Code Detail

MEDICARE: MS. MICHELLE MARIE GRABIEC PA - C

MEDICARE: MS. MICHELLE MARIE GRABIEC PA - C
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
1363A00000XPhysician Assistant023535-01NY

General Provider Information

NPI Number : 1508418732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE MARIE GRABIEC PA - C
Provider Business Mailing Address
First Line : 51 SOUTHCREST AVE
Second Line :
City : CHEEKTOWAGA
State : NY
Zip : 14225-3421
Country : US
Telephone Number : 716-803-0034
Fax Number :
Provider Business Practice Location Address
First Line : 1306 SWEET HOME RD
Second Line :
City : AMHERST
State : NY
Zip : 14228-2792
Country : US
Telephone Number : 716-838-3188
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2019
Last Update Date : 01/12/2026

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