Organization
GI PYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR GROSMAN (MD)
(718) 332-0600
Entity
Organization
Contact information
Practice address
1517 VOORHIES AVE, BROOKLYN, NY 11235-3919
(718) 332-0600
Mailing address
1517 VOORHIES AVE, BROOKLYN, NY 11235-3919
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239458
LICENSE
—
Enumeration date
06/09/2015
Last updated
06/09/2015
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