Individual
DR. GRIGORY JACOB VALDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1410 W 3RD ST, BROOKLYN, NY 11204-4101
(718) 837-1031
(718) 837-1671
Mailing address
1410 W 3RD ST, BROOKLYN, NY 11204-4101
(718) 837-1031
(718) 837-1671
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
202572
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050434
GHI HMO
NY
05
—
01648975
—
NY
01
—
0B7301
EMPIRE
NY
01
—
0P555P
HIP
NY
01
—
12-01328
UHC
NY
01
—
137072
WELL CARE
NY
01
—
202572
LICENSE
NY
01
—
202572-C79
HEALTH FIRST
NY
01
—
2699905
GHI
NY
01
—
26P3881
PRESBYTERIAN
NY
01
—
2C8442
NELTH NET
NY
01
—
5026928
CIGNA
NY
01
—
5251450
AETNA
NY
01
—
BK0214503
AMERICHOICE
NY
01
—
P1046880
OXFORD
NY
01
—
PC2348
CENTER CARE
NY
Enumeration date
12/12/2006
Last updated
07/08/2007
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