Grubman, Samuel
Grubman, Samuel is an sole proprietor health care provider with primary practice located at 154 W 14Th St Fl 4 , New York NY 10011-7330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Grubman, Samuel can be contacted via phone (212) 616-4122.Contact Information
Primary practice address
154 W 14Th St Fl 4
New York NY 10011-7330
Phone: (212) 616-4122
Fax: (212) 616-4124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 162736 | New York |
Profile Details
| NPI number | 1598761819 |
|---|---|
| LBN Legal business name | Grubman, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Mar 25th, 2021 - about 3 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 | 1598761819 | NPPES |
| New York | MEDICAID | 01586736 |
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