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Grenville Medical Pc
Hematology & Oncology Physician in New York, New York
NPI 1316961071

Grenville Medical Pc is a Hematology & Oncology Physician based in New York, NY and is specialized in Hematology & Oncology. Grenville Medical Pc practices in New York, NY. The NPI Number for Grenville Medical Pc is 1316961071 and holds a License No. 075329 (New York).

The current practice location address for Grenville Medical Pc is 308A E 15Th St, New York, NY and can be reached out via phone at 212-674-4455.

Location: 308A E 15Th St, New York, NY, 10003-4001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316961071
Provider Name
Grenville Medical Pc
Credential
Provider Entity Type
Organization
Address
308A E 15Th St, New York, NY, 10003-4001
Phone Number
212-674-4455
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00100936 05 NY
institution
Provider Business Practice Location Address Details
Address
308A E 15Th St
City
New York
State
New York
Zip
10003-4001
Phone Number
212-674-4455
Fax Number
person
Provider Business Mailing Address Details
Address
308A E 15Th St
City
New York
State
New York
Zip
10003-4001
Phone Number
212-674-4455
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
075329 (New York)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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