Individual
MATTHEW P. GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
160 E 56TH ST FL 11, NEW YORK, NY 10022-3609
(212) 371-4060
Mailing address
160 E 56TH ST FL 11, NEW YORK, NY 10022-3609
(212) 371-4060
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4301090861
MI
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
261275
NY
Other
Enumeration date
07/16/2007
Last updated
08/09/2022
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