IGOR GROSMAN DO PC (NPI# 1366783417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366783417 |
| Entity Type | Organization |
| Organization Name | IGOR GROSMAN DO PC |
| Other Organization Name | IGOR GROSMAN DO PC |
| Practice Address |
2676 E 65th St Brooklyn NY 11234-6824 |
| Practice Telephone | 3475872723 |
| Practice Fax Number | 3475872723 |
| Mailing Telephone | 3475872723 |
| Mailing Fax Number | 3475872723 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | IGOR GROSMAN (OWNER) |
| Authorized Official Telephone | 3475872723 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
239458 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Igor Grosman DO PC | Doing Business As Name - Organization |
| Street Address |
2676 E 65TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-6824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578066015 | Lifelong Medical Diagnostics PC | Clinic/Center | 1460 W 5th St Ste M1, Brooklyn, NY 11204-4071 | 2018-03-12 |
| 1093228801 | Karat Health, Inc. | Clinic/Center | 1923 Mcdonald Ave Ste 143, Brooklyn, NY 11223-1828 | 2017-11-15 |
| 1992107783 | Bym Medical, PC | Clinic/Center | 829 57th St # 5, Brooklyn, NY 11220-3677 | 2014-09-23 |
| 1588074330 | Med Care Consultants LLC | Clinic/Center | 4713 Church Ave., Brooklyn, NY 11203-3209 | 2014-05-02 |
| 1508133232 | Original Care Medical PC | Clinic/Center | 2755 E 63rd St, Brooklyn, NY 11234-6813 | 2011-11-23 |
| 1083992317 | Premier Nephrology Services PC | Clinic/Center | 723 Remsen Ave, Brooklyn, NY 11236-1227 | 2011-08-03 |
| 1679884902 | East River Neurology, PC | Clinic/Center | 445 77th St, Brooklyn, NY 11209-3205 | 2010-07-01 |
| 1073839924 | Tatyana Ksendzovskaya | Clinic/Center | 2266 E 23rd St, Brooklyn, NY 11229-4806 | 2010-04-18 |
| 1881828739 | Easy Testing Inc. | Clinic/Center | 2264 65th St, Brooklyn, NY 11204-4058 | 2009-05-06 |
| 1851539514 | Larissa Lempert Md Professional Corporation | Clinic/Center | 736 Avenue X, Brooklyn, NY 11235-6121 | 2009-02-03 |
| Find all providers in BROOKLYN | ||||
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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.