Grunberger, Ivan
Grunberger, Ivan is an sole proprietor health care provider with primary practice located at 38 6Th Ave Fl 2 , Brooklyn NY 11217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Grunberger, Ivan can be contacted via phone (718) 230-7788.Contact Information
Primary practice address
38 6Th Ave Fl 2
Brooklyn NY 11217
Phone: (718) 230-7788
Fax: (718) 230-8017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 146673-1 | New York |
Profile Details
| NPI number | 1528062247 |
|---|---|
| LBN Legal business name | Grunberger, Ivan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jul 11th, 2018 - about 6 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 | 1528062247 | NPPES |
| New York | MEDICAID | 00962161 |
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