Individual
JAY ALAN GROTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3079 BRIGHTON 13TH ST, BROOKLYN, NY 11235
(718) 743-0101
(718) 743-8977
Mailing address
3079 BRIGHTON 13TH ST, BROOKLYN, NY 11235
(718) 743-0101
(718) 743-8977
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
124807
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00366601
—
NY
Enumeration date
08/02/2006
Last updated
07/08/2007
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