Individual
SUSAN GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDQ
Contact information
Practice address
1366 VICTORY BLVD, STATEN ISLAND, NY 10301-3948
(718) 273-3400
(718) 727-3402
Mailing address
1366 VICTORY BLVD, STATEN ISLAND, NY 10301-3948
(718) 273-3400
(718) 727-3402
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
149744
NY
Other
Enumeration date
08/31/2006
Last updated
05/20/2021
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