Individual
MARK GRUDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
393 SUNRISE HIGHWAY, WEST BABYLON, NY 11704-5909
(631) 228-5540
(631) 396-6861
Mailing address
393 SUNRISE HIGHWAY, WEST BABYLON, NY 11704-5909
(631) 228-5540
(631) 396-6861
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
192167
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01762716
—
NY
Enumeration date
05/06/2006
Last updated
05/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us