Grady, Thomas Austin
Grady, Thomas Austin is an individual health care provider with primary practice located at 140 West Sixth Street, Ste 270 Physician Care Pc, Oswego NY 13126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Grady, Thomas Austin can be contacted via phone (315) 349-5752.Contact Information
Primary practice address
140 West Sixth Street, Ste 270 Physician Care Pc
Oswego NY 13126
Phone: (315) 349-5752
Fax: (315) 349-5769
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 211331 | New York |
Profile Details
NPI number | 1962400754 |
---|---|
LBN Legal business name | Grady, Thomas Austin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 14th, 2005 |
Last updated | Mar 29th, 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 | 1962400754 | NPPES |
New York | MEDICAID | 01875598 |
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