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:
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Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962400754 NPPES
New York MEDICAID 01875598

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