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Individual

DR. IGOR GROSMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2015 SHORE PKWY APT 16J, BROOKLYN, NY 11214-6869
(646) 207-4933
Mailing address
2676 E 65TH ST, BROOKLYN, NY 11234-6824
(646) 207-4933

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
239458
NY
207RG0100X
Gastroenterology Physician
Primary
239458
NY

Other

Enumeration date
05/12/2007
Last updated
04/20/2011
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