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Individual

DR. PAVEL GROYSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
17660 UNION TPKE STE 360, FRESH MEADOWS, NY 11366-1531
(718) 342-3442
(347) 225-9930
Mailing address
17660 UNION TPKE STE 360, FRESH MEADOWS, NY 11366-1531
(718) 342-3442
(347) 225-9930

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
270491
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
270491
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
270491-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04109615
NY
Enumeration date
06/12/2012
Last updated
04/18/2018
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