Grossman, Gary David

Grossman, Gary David is an individual health care provider with primary practice located at 241 North Rd , Poughkeepsie NY 12601-1154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Grossman, Gary David can be contacted via phone (845) 471-5519.

Contact Information

Primary practice address
241 North Rd Poughkeepsie NY 12601-1154
Phone: (845) 471-5519
Fax: (845) 471-2928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 186503 New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 186503 New York

Profile Details

NPI number 1275507154
LBN Legal business name Grossman, Gary David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated May 9th, 2012 - about 12 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 1275507154 NPPES
New York MEDICAID 01646491

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