=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184634735
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEVEN VINCENT GRABIEC M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6930 WILLIAMS RD SUITE 3700
-----------------------------------------------------
City | NIAGARA FALLS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14304-3027
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-298-3541
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6930 WILLIAMS RD SUITE 3700
-----------------------------------------------------
City | NIAGARA FALLS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 14304-3027
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 716-298-3541
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 109038
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------