Individual
DR. JONATHAN GRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Mailing address
240 E 35TH ST APT 2A, NEW YORK, NY 10016-4210
(917) 345-0641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
315027
NY
208D00000X
General Practice Physician
315027
NY
Other
Enumeration date
03/09/2022
Last updated
06/06/2022
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