Individual
DR. MATTHEW GRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 HEMPSTEAD TPKE STE 205, LEVITTOWN, NY 11756
(516) 735-7181
Mailing address
2900 HEMPSTEAD TPKE STE 205, LEVITTOWN, NY 11756-1401
(516) 735-7181
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
299892
NY
Other
Enumeration date
04/05/2016
Last updated
07/03/2019
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