Individual
ZACHARY GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7664 STONEHEDGE LANE, MANILUS, NY 13104-0001
(716) 845-2300
Mailing address
7664 STONEHEDGE LANE, MANILUS, NY 13104-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
118782
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00714085
—
NY
Enumeration date
06/24/2005
Last updated
03/11/2021
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