Grand Street Medical Pllc is a General Practice Physician based in New York, NY. Grand Street Medical Pllc practices in Brooklyn, NY. The NPI Number for Grand Street Medical Pllc is 1568485985 and holds a License No. 111281 (New York).
The current practice location address for Grand Street Medical Pllc is 666 Grand St, Brooklyn, NY and can be reached out via phone at 718-963-0555 and via fax at 718-963-4889.
Identifier | Type | State | Issuer |
---|---|---|---|
GJ617239 | 01 | NY | GHI |
0192659 | 01 | NY | GRAND STREET MEDICAL PC |
12295130 | 01 | CAQH | |
55247 | 01 | NY | HIP |
00199748 | 05 | NY | |
11128160NY | 01 | NY | 1199 NATIONAL BENEFIT |
WPPD41 | 05 | NY | |
03196274 | 05 | NY |
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