Grossbard, Michael L

Grossbard, Michael L is an sole proprietor health care provider with primary practice located at 1000 10Th Ave Fl 11 Suite 11C02, New York NY 10019-1147. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Grossbard, Michael L can be contacted via phone (212) 523-5419.

Contact Information

Primary practice address
1000 10Th Ave Fl 11 Suite 11C02 New York NY 10019-1147
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 216357 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 216357 New York

Profile Details

NPI number 1740263276
LBN Legal business name Grossbard, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Nov 29th, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740263276 NPPES
New York MEDICAID 02052808

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