Individual
DR. JASON A GROTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 CENTRAL AVE STE 207, LAWRENCE, NY 11559-8507
(516) 239-8585
(516) 239-8529
Mailing address
290 CENTRAL AVE STE 207, LAWRENCE, NY 11559-8507
(516) 239-8585
(516) 239-8529
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
NY235437
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026631
—
NY
Enumeration date
09/01/2005
Last updated
12/20/2019
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