Individual
ROSS MATTHEW GRUNWALD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 UNION SQ W, NEW YORK, NY 10003-3304
(212) 627-9600
(212) 627-4040
Mailing address
19 UNION SQ W, NEW YORK, NY 10003-3304
(212) 627-9600
(212) 627-4040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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