STANISLAV GRINBERG (NPI# 1033516430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033516430 |
| Entity Type | Individual |
| Full Name | STANISLAV GRINBERG |
| Credential | PHD |
| Practice Address |
2279 Coney Island Ave Suite 3b Brooklyn NY 11223-3337 |
| Practice Telephone | 7189989899 |
| Practice Fax Number | 7189989896 |
| Mailing Telephone | 7189989899 |
| Mailing Fax Number | 7189989896 |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
GRINS3 | NY | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CQ CODE | GRINS3 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447604780 | Stanislav Grinberg | Family Medicine | 6 Healthy Way, Ellenville, NY 12428-5612 | 2016-04-22 |
| Street Address |
2279 CONEY ISLAND AVE SUITE 3B |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11223-3337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730462326 | Dmitry Ostrovskiy | Physician Assistant | 2279 Coney Island Ave, Ste 2a, Brooklyn, NY 11223-3337 | 2011-09-21 |
| 1750748760 | Conie Uygongco | Physical Therapist | 2279 Coney Island Ave, 2b, Brooklyn, NY 11223-3337 | 2016-01-21 |
| 1831564335 | Island Medical Consilium Pllc | Internal Medicine | 2279 Coney Island Ave, Brooklyn, NY 11223-3337 | 2015-12-09 |
| 1003231754 | Tri Physical Therapy,pc | Physical Therapist | 2279 Coney Island Ave, Suite #2b, Brooklyn, NY 11223-3337 | 2014-03-04 |
| 1326306564 | Leonid Litovskiy | Physician Assistant | 2279 Coney Island Ave, Suite 2a, Brooklyn, NY 11223 | 2012-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123913 | Be The Change Occcupational Therapy PC | Occupational Therapist | Garden of Eden Home for Adults (ot/pt Office), 1608 Stillwell Ave, Brooklyn, NY 11223 | 2020-10-30 |
| 1508471566 | 247 Supply, Inc. | Durable Medical Equipment & Medical Supplies | 908 Avenue U, Brooklyn, NY 11223 | 2020-09-15 |
| 1184269755 | Core Physical Therapy Services PC | Physical Therapist | 2003 Coney Island Ave, Brooklyn, NY 11223 | 2019-11-07 |
| 1558903658 | Solar Health Physical Therapy and Acupuncture P.C. | Acupuncturist | 339 Kings Highway, Brooklyn, NY 11223 | 2019-10-10 |
| 1356810543 | Victorian Aznar | Physical Therapist | 1750 W 9th St, Brooklyn, NY 11223 | 2018-11-16 |
| 1669990149 | Avraham Chaim Knobel | Social Worker | 2020 Coney Island Avenue, Brooklyn, NY 11223 | 2017-09-05 |
| 1386174373 | Orly Meyer | Occupational Therapist | 2092 E 7th St, Brooklyn, NY 11223 | 2017-06-13 |
| 1790223840 | Roshauna Joseph | Licensed Practical Nurse | 2326 West 8th Street, Brooklyn, NY 11223 | 2017-02-09 |
| 1942747142 | Ace Management Am Corp | Case Management | 2375 East 3rd Street Brooklyn, 1a, Brooklyn, NY 11223 | 2017-01-25 |
| 1518401140 | Auburn Heller | Speech-Language Pathologist | 64 Ave X, Speech Dept P721k, Brooklyn, NY 11223 | 2016-12-16 |
| Find all providers in zip 11223 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962843482 | Yeshpal S Chauhan | Pathology | 140 58th St Ste A, Unit 3l, Brooklyn, NY 11220-2539 | 2013-07-12 |
| 1356948392 | Magda F. Baskharoun-guirguis | Pathology | 6103 Strickland Ave Ste D, Brooklyn, NY 11234-6408 | 2020-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1083075212 | Kenneth Ihenetu | Pathology | 785 Delaware Ave Fl 1, Delmar, NY 12054-9713 | 2016-03-16 |
| 1780050815 | Lars Frederick Westblade | Pathology | Weill Cornell Medical College, 1300 York Avenue, New York, NY 10065-7940 | 2015-08-12 |
| 1588001317 | William John Closson | Pathology | 179 Jayne Ave, Patchogue, NY 11772-2836 | 2013-06-03 |
| 1265781504 | Yan Zhang | Pathology | 601 Elmwood Ave Box 608, Rochester, NY 14642-0001 | 2012-08-31 |
| 1841568524 | Marjorie Bonhomme | Pathology | 522 Alicia Dr, Westbury, NY 11590-1311 | 2011-12-08 |
| 1245408038 | Djamshid Shirazian | Pathology | 4603 Middle Country Rd, 12-3 Suny Incubator, Calverton, NY 11933 | 2008-02-14 |
| 1487822375 | Foroozan Mokhtarian | Pathology | Suny Incubator 4603 Middle Country Road, Suite 12-3, Calverton, NY 11933 | 2008-02-14 |
| 1619599859 | Bing Su | Pathology | 2821 Wehrle Dr Ste 9, Williamsville, NY 14221-7386 | 2020-05-11 |
| 1225687098 | Evangelos Ntrivalas | Pathology | 1275 York Ave, New York, NY 10065-6007 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.