Individual
DR. MICHAEL FREDERIC GRUNEBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W 90TH ST APT 1G, NEW YORK, NY 10024-1237
(212) 580-4252
(212) 543-6017
Mailing address
825 W END AVE, APT. 10E, NEW YORK, NY 10025-5349
(212) 580-4252
(212) 543-6017
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
190740
NY
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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