Individual
DR. GENNADIY GRUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5286
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-5286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
266521
NY
Other
Enumeration date
02/02/2011
Last updated
03/28/2023
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