Individual
MR. PETER WILLIAM GRIMALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 606-1684
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4872
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
010655
NY
Other
Enumeration date
05/20/2008
Last updated
03/30/2021
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