Individual
ROMAN GRINBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
155 E 76TH ST APT 1C, NEW YORK, NY 10021
(212) 988-1136
(212) 988-8516
Mailing address
155 E 76TH ST APT 1C, NEW YORK, NY 10021-2811
(212) 988-1136
(212) 988-8516
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
263407
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03484860
—
NY
Enumeration date
04/03/2007
Last updated
08/09/2018
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