Individual
BARRY GROSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
10 HARWOOD CT, SCARSDALE, NY 10583-4104
(914) 472-8900
(914) 472-8901
Mailing address
10 HARWOOD CT, SCARSDALE, NY 10583-4104
(914) 472-8900
(914) 472-8901
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004544-1
NY
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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