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NPI Code Detail

MEDICARE: GRIDER MEDICAL SERVICES, PLLC

MEDICARE: GRIDER MEDICAL SERVICES, PLLC
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
1208100000XPhysical Medicine & Rehabilitation Physician

General Provider Information

NPI Number : 1285912055
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRIDER MEDICAL SERVICES, PLLC
Provider Business Mailing Address
First Line : 1 JOHN JAMES AUDUBON PKWY
Second Line :
City : AMHERST
State : NY
Zip : 14228-1143
Country : US
Telephone Number : 716-204-4500
Fax Number :
Provider Business Practice Location Address
First Line : 1 JOHN JAMES AUDUBON PKWY
Second Line :
City : AMHERST
State : NY
Zip : 14228-1143
Country : US
Telephone Number : 716-204-4500
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. GREG DANIEL JR.
Credential : M.D.
Telephone Number : 716-204-4500
Provider Enumeration Date : 07/28/2011
Last Update Date : 07/29/2011

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Directions to “GRIDER MEDICAL SERVICES, PLLC ” Practice Location

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