Individual
DR. DOMINICK EDWIN GRUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
545 W END AVE, APARTMENT 11D, NEW YORK, NY 10024-2713
(212) 874-6929
Mailing address
545 W END AVE, APARTMENT 11D, NEW YORK, NY 10024-2713
(212) 874-6929
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010741-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010741-1
PSYCHOLOGY LICENSE
NY
Enumeration date
04/04/2007
Last updated
07/08/2007
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