Individual
MEREDITH WEPNER GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6500
(917) 583-3528
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6500
(917) 583-3528
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
248503
NY
208000000X
Pediatrics Physician
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248503
NY LICENSE
NY
Enumeration date
05/10/2007
Last updated
07/21/2022
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