Individual
GREGORY GRINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 STATION PLZ N STE 510, MINEOLA, NY 11501-3893
(516) 663-2521
Mailing address
193 OXFORD ST, BROOKLYN, NY 11235-2310
(917) 538-1064
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
320236
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
09/11/2025
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