Individual
IRENE GRINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9158
Mailing address
161 E 96TH ST APT 2A, NEW YORK, NY 10128-2104
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
60 255048
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03232840
—
NY
Enumeration date
03/15/2010
Last updated
01/18/2011
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