Individual
DR. IRA GRUSHACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
714 E PARK AVE, LONG BEACH, NY 11561-2605
(516) 431-7972
(516) 431-7944
Mailing address
714 E PARK AVE, LONG BEACH, NY 11561-2605
(516) 431-7972
(516) 431-7944
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321281
AETNA
NY
Enumeration date
06/07/2006
Last updated
07/08/2007
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