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Individual

MRS. LYUBOV GRITSENKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
400 FT. WASHINGTON AVE., SUITE 1A, NEW YORK, NY 10033
(212) 795-9500
(212) 795-9501
Mailing address
400 FT. WASHINGTON AVE., SUITE 1A, NEW YORK, NY 10033
(212) 795-9500
(212) 795-9501

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
F305462-1
NY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
F340785
NY

Other

Enumeration date
06/05/2012
Last updated
06/05/2012
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