GRENVILLE MEDICAL PC NPI 1316961071

NPI Information

GRENVILLE MEDICAL PC is a hematology and oncology internal medicine in New York, NY. The provider is 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. GRENVILLE MEDICAL PC NPI is 1316961071. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

308A E 15TH ST
NEW YORK, NY
ZIP 10003-001
Phone: (212) 674-4455

The provider's authorized official is Bernard Kabakow .
The authorized official title is Owner and has the following contact phone number (917) 576-4481.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 12/28/2007.

Taxonomy Codes

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