Groysman, Pavel

Groysman, Pavel is an individual health care provider with primary practice located at 17660 Union Tpke Ste 360 , Fresh Meadows NY 11366-1531. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Groysman, Pavel can be contacted via phone (718) 342-3442.

Contact Information

Primary practice address
17660 Union Tpke Ste 360 Fresh Meadows NY 11366-1531
Phone: (718) 342-3442
Fax: (347) 225-9930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 270491 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 270491-1 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 270491 New York

Profile Details

NPI number 1871855270
LBN Legal business name Groysman, Pavel
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Apr 18th, 2018 - about 7 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 1871855270 NPPES
New York MEDICAID 04109615

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