Individual
MARGUERITE GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 E 77TH STREET, NEW YORK, NY 10021
(718) 787-5656
Mailing address
1441 -43 ST., BROOKLYN, NY 11219
(718) 787-5656
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
047727
NY
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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