Individual
MATTHEW JAKE GRUNDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 E 71ST ST, NEW YORK, NY 10021-4828
(212) 606-1005
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4898
(212) 606-1225
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
035980
NY
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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