Individual
MR. GARY DAVID GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
241 NORTH RD, POUGHKEEPSIE, NY 12601-1154
(845) 471-5519
(845) 471-2928
Mailing address
85 CIVIC CENTER PLZ, 104, POUGHKEEPSIE, NY 12601-2498
(845) 471-5519
(845) 471-2928
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
186503
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
186503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01646491
—
NY
Enumeration date
02/15/2006
Last updated
05/09/2012
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