Basic Information
| Provider Information | |||||||||
| NPI: | 1164434114 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GRASA | ||||||||
| FirstName: | GABRIELA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 210 WESTCHESTER AVE | ||||||||
| Address2: | |||||||||
| City: | WHITE PLAINS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 106042901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9146813146 | ||||||||
| FaxNumber: | 9146826403 | ||||||||
| Practice Location | |||||||||
| Address1: | 688 WHITE PLAINS RD | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | SCARSDALE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 105835015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9147226300 | ||||||||
| FaxNumber: | 9146826403 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/11/2006 | ||||||||
| LastUpdateDate: | 10/16/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 221338 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 1557385002 | 01 | CIGNA | OTHER | 221338NY | 01 | LOCAL 1199 | OTHER | OH4258 | 01 | HEALTH NET | OTHER | 060065811 | 01 | NY | RAILROAD MEDICARE | OTHER | 2144300 | 01 | UNITED HEALTHCARE | OTHER | 000000057141 | 01 | GHI HMO | OTHER | 02372163 | 05 | NY | MEDICAID | 2102736 | 01 | GHI PPO CBP | OTHER | 221338 | 01 | NY | HIP | OTHER | 32242 | 01 | CONTRACT MANAGEMENT ORGAN | OTHER | 419Q01 | 01 | NY | EMPIRE BLUE CROSS | OTHER | P2535574 | 01 | OXFORD | OTHER |