Organization
WINTHROP GASTROENTEROLOGY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES HENRY GRENDELL M.D. (CHIEF/CEO)
(516) 663-2066
Entity
Organization
Contact information
Practice address
222 STATION PLAZA NORTH, SUITE 428, MINEOLA, NY 11501-3819
(516) 663-2066
(516) 663-4655
Mailing address
222 STATION PLAZA NORTH, SUITE 428, MINEOLA, NY 11501-3819
(516) 663-2066
(516) 663-4655
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01204659
—
NY
Enumeration date
08/09/2006
Last updated
12/11/2013
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