Individual
DR. JAMES GROVENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 GOLDEN LN, KERHONKSON, NY 12446-1609
(845) 626-3424
(845) 626-4627
Mailing address
5 GOLDEN LANE, KERHONKSON, NY 12446
(845) 626-3424
(845) 626-4627
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
181048-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01805201
—
NY
Enumeration date
02/20/2007
Last updated
11/02/2007
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