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General NPI Number Information
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NPI Number | 1851326177
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Entity Type | Individual
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Provider Name | MICHAEL W GRISANTI MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3055 SOUTHWESTERN BLVD BUFFALO RHEUMATOLOGY
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1231
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Country | US
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Telephone | 716-675-2500
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Fax | 716-675-2500
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Provider Business Mailing Address
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Address Line | 3055 SOUTHWESTERN BLVD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1231
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Country | US
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Telephone | 716-675-2500
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Fax | 716-675-2590
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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 | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 178231
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 178231
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License Number State | NY
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