Individual
GRIGORY SHTENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PM&R
Contact information
Practice address
2995 OCEAN PKWY, BROOKLYN, NY 11235-8387
(718) 934-2211
(718) 934-2225
Mailing address
1580 E 13TH ST, APT #2D, BROOKLYN, NY 11230-7160
(718) 339-2399
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
218261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02090619
—
NY
Enumeration date
07/30/2006
Last updated
06/21/2010
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