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NPI Code Detail

MEDICARE: DR. LAURA Z GRAS PT. DSC, GCS

MEDICARE:  DR. LAURA Z GRAS  PT. DSC, GCS
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
1225100000XPhysical Therapist0124451NY

General Provider Information

NPI Number : 1457580268
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA Z GRAS PT. DSC, GCS
Provider Business Mailing Address
First Line : 77 LYNN RD
Second Line :
City : AVERILL PARK
State : NY
Zip : 12018-2700
Country : US
Telephone Number : 518-244-2066
Fax Number :
Provider Business Practice Location Address
First Line : 4164 NY 2
Second Line :
City : TROY
State : NY
Zip : 12180-9029
Country : US
Telephone Number : 518-326-9272
Fax Number : 518-326-9273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2009
Last Update Date : 07/14/2009

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Directions to “ DR. LAURA Z GRAS PT. DSC, GCS” Practice Location

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