Organization
SAMUEL GRUBMAN M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL GRUBMAN M.D.,P.C. (DOCTOR)
(212) 616-4122
Entity
Organization
Contact information
Practice address
154 W 14TH ST, 4TH FL, NEW YORK, NY 10011-7307
(212) 616-4122
(212) 616-4124
Mailing address
70 E 10TH ST, APT 12K, NEW YORK, NY 10003-5102
(212) 616-4122
(212) 616-4124
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
162736
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01586736
—
NY
Enumeration date
02/26/2007
Last updated
01/06/2015
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