Individual
IRA E. GRONOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8502 BAY PKWY, BROOKLYN, NY 11214-4104
(718) 373-5000
Mailing address
8502 BAY PKWY, BROOKLYN, NY 11214-4104
(718) 373-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
027244
NY
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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