Healthcare Provider Details

I. General information

NPI: 1184602641
Provider Name (Legal Business Name): WILLIAM EUGENE GRAPPONE MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MAIN ST
ONEONTA NY
13820-1586
US

IV. Provider business mailing address

10 TELFORD ST
ONEONTA NY
13820-1238
US

V. Phone/Fax

Practice location:
  • Phone: 607-432-9128
  • Fax:
Mailing address:
  • Phone: 607-432-9128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0227071
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: