Organization
GRAND STREET MEDICINE & REHABILITATION P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA GLIPONEO (MEDICAL BILLER)
(212) 539-0257
Entity
Organization
Contact information
Practice address
407 ROCKAWAY AVE, BROOKLYN, NY 11212-5635
(718) 750-7680
Mailing address
460 GRAND ST, NEW YORK, NY 10002-4058
(212) 539-0257
(212) 677-4853
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
148797
NY
Other
Enumeration date
03/08/2007
Last updated
05/03/2023
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