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General NPI Number Information
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NPI Number | 1790219152
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Entity Type | Individual
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Provider Name | VERONICA GRAIL M.D
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Gender | Female
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 2 MANHATTANVILLE RD STE 203
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City | PURCHASE
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State | NY
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Zip | 10577-2118
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Country | US
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Telephone | 800-835-2362
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Fax |
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Provider Business Mailing Address
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Address Line | 791 CRANDON BLVD APT 1105
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City | KEY BISCAYNE
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State | FL
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Zip | 33149-2203
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ME142604
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License Number State | FL
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