Individual
DR. MICHAEL PAUL GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
38A OLD SPARROWBUSH ROAD, LATHAM, NY 12110
(518) 690-0700
(518) 724-5757
Mailing address
92 PHEASANT RDG, NISKAYUNA, NY 12309-2517
(518) 374-3541
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
239545
NY
207VE0102X
Reproductive Endocrinology Physician
38293
KY
Other
Enumeration date
05/31/2005
Last updated
07/08/2007
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