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Individual

DR. ROBERT SAMUEL GROSSMARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
241 CENTRAL PARK W APT 1A, SUITE # 1A, NEW YORK, NY 10024-4544
(212) 496-1591
Mailing address
241 CENTRAL PARK W APT 1A, SUITE # 1A, NEW YORK, NY 10024-4544
(212) 496-1591

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
010308
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02097047
NY
Enumeration date
04/26/2007
Last updated
07/08/2007
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