Individual
ARTEM ROMANOVICH GRUBSHTEYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 GREENWICH ST, NEW YORK, NY 10007-2422
(212) 233-1705
Mailing address
2930 W 30TH ST APT 8A5, BROOKLYN, NY 11224-1728
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04610440
—
NY
Enumeration date
05/25/2021
Last updated
05/25/2021
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