Gritsman, Andrey
Gritsman, Andrey is an individual health care provider with primary practice located at 223 North Van Dien Avenue Valley Hospital, Ridgewood NJ 07450. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Gritsman, Andrey can be contacted via phone (201) 447-8242.Contact Information
Primary practice address
223 North Van Dien Avenue Valley Hospital
Ridgewood NJ 07450
Phone: (201) 447-8242
Fax: (201) 447-8657
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 60261 | New Jersey |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 25MA06026100 | New Jersey |
Profile Details
NPI number | 1134277601 |
---|---|
LBN Legal business name | Gritsman, Andrey |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2007 |
Last updated | Sep 6th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134277601 | NPPES |
New Jersey | MEDICAID | 6067000 |
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