Individual
MR. ERNEST GRUNTFEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 COMMODORE DR, STATEN ISLAND, NY 10309-3975
(917) 603-2684
(201) 625-2684
Mailing address
55 COMMODORE DR, STATEN ISLAND, NY 10309-3975
(917) 603-2684
(201) 625-2684
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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