Individual
DR. MARVIN GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7613 MYRTLE AVE, GLENDALE QUEENS, NY 11385
(718) 821-9464
(718) 821-9464
Mailing address
7613 MYRTLE AVE, GLENDALE QUEENS, NY 11385
(718) 821-9464
(718) 821-9464
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22365NY
NY
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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