Individual
MYLES GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2174 HEWLETT AVE, STE 202, MERRICK, NY 11566-3620
(516) 379-2560
(516) 546-8845
Mailing address
2174 HEWLETT AVE STE 202, MERRICK, NY 11566-3620
(516) 379-2560
(516) 546-8845
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004096
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00985117
—
NY
Enumeration date
05/31/2005
Last updated
01/20/2026
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