Individual
LIEL ANDY GRINBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
160 E 88TH ST APT 1D, NEW YORK, NY 10128-2217
(516) 680-6915
Mailing address
160 E 88TH ST APT 1D, NEW YORK, NY 10128-2217
(516) 680-6915
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
056768
NY
Other
Enumeration date
05/04/2012
Last updated
08/31/2023
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