DR. ROBERT FRASER GRAMBAU


Address: 461 Smith Ridge Rd, South Salem, NY 10590-2626
Phone: 9143646694

DR. ROBERT FRASER GRAMBAU (NPI# 1851432801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851432801
Entity Type Individual
Full Name DR. ROBERT FRASER GRAMBAU
Credential M.D.
Practice Address 461 Smith Ridge Rd
South Salem
NY 10590-2626
Practice Telephone 9143646694
Mailing Telephone 9143646694
Enumeration Date 2007-02-12
Last Update Date 2013-09-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
158500 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 461 SMITH RIDGE RD
City SOUTH SALEM
State NY
Zip Code 10590-2626

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1346483963 Lynn M Hall Physical Therapist 7 Lakeview Rd, South Salem, NY 10590-1001 2009-04-13
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1902961675 Rosemary Lenore Weingarten Nurse Practitioner 16 Autumn Ridge Rd, South Salem, NY 10590-1102 2006-12-23
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

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1902281629 Derek Rudge Psychiatry & Neurology 1051 Riverside Dr Rm 235, New York, NY 10032-1007 2015-07-23
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1740676766 Maura E Tappen Psychiatry & Neurology 1860 South Ave, Rochester, NY 14620-4229 2015-04-07
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Competitor

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City SOUTH SALEM
Zip Code 10590

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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