Individual
DR. ALEXANDRE GRIGORIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4014 BOSTON RD, BRONX, NY 10475-1120
(718) 862-1100
(718) 962-2268
Mailing address
4014 BOSTON RD, BRONX, NY 10475-1120
(718) 862-1100
(718) 962-2268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
215413
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02220895
—
NY
Enumeration date
07/08/2006
Last updated
05/03/2012
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