Dimitroff, Grace D
Dimitroff, Grace D is an individual health care provider with primary practice located at 2924 Main Street , Buffalo NY 14214-1720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Dimitroff, Grace D can be contacted via phone (718) 837-0995.Contact Information
Primary practice address
2924 Main Street
Buffalo NY 14214-1720
Phone: (718) 837-0995
Fax: (716) 837-1203
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 192531 | New York |
Profile Details
| NPI number | 1922061845 |
|---|---|
| LBN Legal business name | Dimitroff, Grace D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Sep 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922061845 | NPPES |
| New York | MEDICAID | 01435785 |
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