National Provider Identifier
Jeffery Jerome Grace, M.D.
Jeffery Jerome Grace, M.D. is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Buffalo, NY and a listed phone number of (716) 907-4675.
Profile Overview
- NPI
- 1841247921
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- May 27, 2006
- Last Updated
- December 08, 2023
Practice Location
- 2949 Elmwood Ave Ste 201
- Buffalo, NY 14217-1356
Phone: (716) 907-4675
Mailing Address
- 400 Forest Ave
- Buffalo, NY 14213-1207
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1841247921
- Entity Type
- Individual
- Last Name
- Grace
- First Name
- Jeffery
- Middle Name
- Jerome
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 400 Forest Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-1207
- Mailing Country
- US
- Mailing Phone
- (716) 816-2003
- Practice Street Address
- 2949 Elmwood Ave Ste 201
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14217-1356
- Practice Country
- US
- Practice Phone
- (716) 907-4675
- Practice Fax
- (716) 882-1229
- Enumeration Date
- May 27, 2006
- Last Updated
- December 08, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 08, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)