Individual
DR. MARK GEOFFERY GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 FRANKLIN AVE, SUITE UL3A, GARDEN CITY, NY 11530-1886
(516) 747-8900
(516) 663-8124
Mailing address
1300 FRANKLIN AVE, SUITE UL3A, GARDEN CITY, NY 11530-1886
(516) 747-8900
(516) 663-8124
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
224563
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
224563
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02359162
—
NY
Enumeration date
10/21/2005
Last updated
12/30/2021
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