Korc-Grodzicki, Beatriz

Korc-Grodzicki, Beatriz is an individual health care provider with primary practice located at 1470 Madison Ave , New York NY 10029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Korc-Grodzicki, Beatriz can be contacted via phone (212) 659-8552.

Contact Information

Primary practice address
1470 Madison Ave New York NY 10029
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 2069871 New York

Profile Details

NPI number 1336115617
LBN Legal business name Korc-Grodzicki, Beatriz
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1336115617 NPPES
New York MEDICAID 01852208

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