Individual
DR. ELLIE GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
462 1ST AVE, RM A560, NEW YORK, NY 10016-9196
(212) 562-1685
(212) 562-1597
Mailing address
462 1ST AVE, RM A 560, NEW YORK, NY 10016-9196
(212) 562-1685
(212) 562-1597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
240144
NY
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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