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MR. MICHAEL GRASSO III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 E 77TH ST, 4TH FLOOR, EAST BLDG, NEW YORK, NY 10075-1850
(212) 434-6300
(212) 434-6370
Mailing address
PO BOX 2022, CHURCH STREET STATION, NEW YORK, NY 10113-2022
(212) 434-6300
(212) 434-6370

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
197903
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00M061
BLUECROSS BLUESHIELD
NY
01
1099464
GHI
NY
01
1337141
UNITED HEALTHCARE
NY
01
197903
HIP
NY
01
4286003
AETNA
NY
01
N79103
HEALTHNET
NY
01
NS3689
OXFORD
NY
01
P00024915
MEDICARE RAILROAD
NY
Enumeration date
07/11/2006
Last updated
08/26/2010
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