Individual
DR. JILL GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3050 CORLEAR AVE, SUITE 201, BRONX, NY 10463-5180
(718) 543-2700
(718) 601-0965
Mailing address
3050 CORLEAR AVE, SUITE 201, BRONX, NY 10463-5180
(718) 543-2700
(718) 601-0965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
227600
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02611085
—
NY
01
—
5442DWQ371
MEDICARE ID
NY
Enumeration date
09/30/2006
Last updated
08/26/2021
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