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Individual

DR. KONRAD IZUMI GRUSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1250 WATERS PL, 11TH FLOOR, BRONX, NY 10461-2720
(718) 920-2060
(347) 577-4428
Mailing address
1250 WATERS PL, 11TH FLOOR, BRONX, NY 10461-2720
(718) 920-2060
(347) 577-4428

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
229650
NY

Other

Enumeration date
05/07/2008
Last updated
10/11/2011
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