Individual
MANUEL GRINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 YAPHANK RD, STE 11B, EAST PATCHOGUE, NY 11772-4800
(631) 475-5051
(631) 475-8268
Mailing address
250 YAPHANK RD, STE 11B, EAST PATCHOGUE, NY 11772-4800
(631) 475-5051
(631) 475-8268
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
185806
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01251087-5
—
NY
01
—
100075
GHI
NY
01
—
1900179
UNITED HEALTHCARE
NY
01
—
219380P
HIP
NY
01
—
2434
VYTRA
NY
01
—
2C0794
HEALTHNET
NY
01
—
340004365
RAILROAD MEDICARE
NY
01
—
4283391
AETNA
NY
01
—
5610976011
HEALTHCARE PARTNERS
NY
01
—
5610976015
CIGNA
NY
01
—
93F811
EMPIRE BCBS
NY
01
—
940046756
PHCS
NY
01
—
CS1073
OXFORD
NY
Enumeration date
08/02/2005
Last updated
01/06/2011
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