Individual
MS. ANDREA GRUNDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6 DOWS LANE, IRVINGTON, NY 10533
(914) 591-6012
Mailing address
75 WEST END AVE, APT P32A, NEW YORK, NY 10023
(845) 893-7391
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
001718-1
NY
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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