Individual
DR. DIEGO J GRINBERG-FUNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 DEGRANDPRE WAY, PLATTSBURGH, NY 12901-6449
(518) 561-3900
(518) 561-7843
Mailing address
160 SUNRISE DR, PLATTSBURGH, NY 12901-5334
(518) 562-8989
(518) 561-7843
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
181081
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01195422
—
NY
Enumeration date
08/16/2005
Last updated
06/17/2010
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