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Individual

ANDREW M GRUNWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3003 NEW HYDE PARK ROAD #406, NEW HYDE PARK, NY 11042
(516) 358-5401
(516) 358-5403
Mailing address
3003 NEW HYDE PARK ROAD #406, NEW HYDE PARK, NY 11042
(516) 358-5401
(516) 358-5403

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1277641
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00685630
NY
Enumeration date
10/20/2006
Last updated
06/29/2012
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