Individual
LILY GROBMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 E 65TH ST, NEW YORK, NY 10065-6701
(212) 879-4700
(212) 249-7580
Mailing address
201 E 65TH ST, NEW YORK, NY 10065-6701
(212) 879-4700
(212) 249-7580
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018067
NY
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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