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1437184280

NPI Code Detail

MEDICARE: MR. MICHAEL GRASSO III MD

MEDICARE: MR. MICHAEL GRASSO III MD

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
1	208800000X	Urology Physician	197903	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00024915	OTHER	NY	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00M061	OTHER	NY	BLUECROSS BLUESHIELD
2	4286003	OTHER	NY	AETNA
3	1099464	OTHER	NY	GHI
5	1337141	OTHER	NY	UNITED HEALTHCARE
6	NS3689	OTHER	NY	OXFORD
7	197903	OTHER	NY	HIP
8	N79103	OTHER	NY	HEALTHNET

General Provider Information

NPI Number	:	1437184280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL GRASSO III MD

Provider Business Mailing Address
First Line	:	PO BOX 2022
Second Line	:	CHURCH STREET STATION
City	:	NEW YORK
State	:	NY
Zip	:	10113-2022
Country	:	US
Telephone Number	:	212-434-6300
Fax Number	:	212-434-6370

Provider Business Practice Location Address
First Line	:	100 E 77TH ST
Second Line	:	4TH FLOOR, EAST BLDG
City	:	NEW YORK
State	:	NY
Zip	:	10075-1850
Country	:	US
Telephone Number	:	212-434-6300
Fax Number	:	212-434-6370

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	08/26/2010

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Directions to “ MR. MICHAEL GRASSO III MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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