Individual
DR. DAVIDA GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST PH 5-505C, NEW YORK, NY 10032-3720
(212) 305-6494
Mailing address
622 W 168TH ST PH 5-505C, NEW YORK, NY 10032-3720
(212) 305-6494
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
324164
NY
207L00000X
Anesthesiology Physician
MA67578
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7982208
—
NJ
Enumeration date
07/22/2005
Last updated
08/16/2023
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