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Organization

TREATING PHYSICIAN MEDICAL CARE P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH ABRAHAM GROSSMAN MD (OWNER)
(347) 590-2707
Entity
Organization

Contact information

Practice address
953 SOUTHERN BLVD, BRONX, NY 10459-3428
(347) 590-2707
(347) 590-2706
Mailing address
140 RIVERSIDE BLVD, SUITE 811, NEW YORK, NY 10069-0608

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
081056
NY
207RC0000X
Cardiovascular Disease Physician
Primary
081056
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116569
NY
Enumeration date
09/10/2012
Last updated
09/10/2012
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