Organization
JAY A GROTAS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY ALAN GROTAS M.D. (OWNER)
(718) 743-0101
Entity
Organization
Contact information
Practice address
3079 BRIGHTON 13TH ST, BROOKLYN, NY 11235-5607
(718) 743-0101
(718) 743-8977
Mailing address
3079 BRIGHTON 13TH ST, BROOKLYN, NY 11235-5607
(718) 743-0101
(718) 743-8977
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0036601
—
NY
Enumeration date
02/18/2010
Last updated
02/18/2010
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