National Provider Identifier

Matthew Joseph Gravina, MD

Matthew Joseph Gravina, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1851884639Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1851884639
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
June 07, 2018
Last Updated
June 29, 2021

Practice Location

  • Elm And Carlton St
  • Buffalo, NY 14263-0001

Phone: (716) 845-2300

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1851884639
Entity Type
Individual
Last Name
Gravina
First Name
Matthew
Middle Name
Joseph
Name Prefix
Mr.
Credential
MD
Mailing Street Address
Elm And Carlton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-0001
Mailing Country
US
Mailing Phone
(716) 845-2300
Mailing Fax
(716) 845-8008
Practice Street Address
Elm And Carlton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-0001
Practice Country
US
Practice Phone
(716) 845-2300
Practice Fax
(716) 845-8008
Enumeration Date
June 07, 2018
Last Updated
June 29, 2021
Sex
Male
Sole Proprietor
No
Certification Date
June 29, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)