Individual
DR. EUGENE GRUDNIKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 SUNRISE HWY, SOUTH OAKS HOSPITAL - CH203, AMITYVILLE, NY 11701-2508
(631) 608-5205
(631) 608-4112
Mailing address
400 SUNRISE HWY, SOUTH OAKS HOSPITAL - CH203, AMITYVILLE, NY 11701-2508
(631) 608-5205
(631) 608-4112
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
262638
NY
Other
Enumeration date
05/27/2011
Last updated
08/20/2014
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