Individual
STANISLAV GRINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2279 CONEY ISLAND AVE, SUITE 3B, BROOKLYN, NY 11223-3337
(718) 998-9899
(718) 998-9896
Mailing address
2279 CONEY ISLAND AVE, SUITE 3B, BROOKLYN, NY 11223-3337
(718) 998-9899
(718) 998-9896
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
GRINS3
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRINS3
CQ CODE
NY
Enumeration date
12/01/2014
Last updated
12/01/2014
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