Organization
GRAMERCY MEDICAL SERVICES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE ROTBLAT-OPERMAN MD (PRESIDENT/INCORPORATOR)
(718) 989-5550
Entity
Organization
Contact information
Practice address
13916 91ST AVE, JAMAICA, NY 11435-4219
(917) 854-6670
Mailing address
13916 91ST AVE, JAMAICA, NY 11435-4219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
251283
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316667
—
NY
Enumeration date
02/07/2018
Last updated
11/22/2018
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