National Provider Identifier

Jon Grande, M.D.

Jon Grande, M.D. is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1679596332Buffalo, NYAnesthesiology Physician

Profile Overview

NPI
1679596332
Provider Type
Individual
Primary Specialty
Anesthesiology Physician
Enumeration Date
July 25, 2006
Last Updated
July 15, 2019

Practice Location

  • Elm And Carlton Streets
  • Buffalo, NY 14263

Phone: (716) 845-2300

Mailing Address

  • 30 S Cayuga RD
  • Williamsville, NY 14221-6728

Specialties

  • Anesthesiology Physician (207L00000X)
Full Record
NPI
1679596332
Entity Type
Individual
Last Name
Grande
First Name
Jon
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
30 S Cayuga RD
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-6728
Mailing Country
US
Mailing Phone
(716) 632-1088
Mailing Fax
(716) 632-7842
Practice Street Address
Elm And Carlton Streets
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263
Practice Country
US
Practice Phone
(716) 845-2300
Enumeration Date
July 25, 2006
Last Updated
July 15, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Anesthesiology Physician (207L00000X)
Other Identifiers
01747231 (NY)