Individual
MR. AARON GRUSHKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
212 PENN ST, BROOKLYN, NY 11211-8322
(718) 596-0963
(718) 596-6498
Mailing address
212 PENN ST, BROOKLYN, NY 11211-8322
(718) 596-0963
(718) 596-6498
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000753
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01284404
—
NY
Enumeration date
08/31/2008
Last updated
08/31/2008
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