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Individual

DR. GRIGORIY GRENADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 HAVEN AVE STE 201, NEW YORK, NY 10032-2645
(212) 305-3400
(212) 342-3955
Mailing address
2785 W 5TH ST, APT.7D, BROOKLYN, NY 11224-4629
(646) 346-0887

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
255778
NY

Other

Enumeration date
06/09/2008
Last updated
03/19/2025
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