MRS. LYUBOV GRITSENKO


Address: 400 Ft. Washington Ave., Suite 1a, New York, NY 10033
Phone: 2127959500

MRS. LYUBOV GRITSENKO (NPI# 1932460151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932460151
Entity Type Individual
Full Name MRS. LYUBOV GRITSENKO
Credential N.P.
Practice Address 400 Ft. Washington Ave.
Suite 1a
New York
NY 10033
Practice Telephone 2127959500
Practice Fax Number 2127959501
Mailing Telephone 2127959500
Mailing Fax Number 2127959501
Enumeration Date 2012-06-05
Last Update Date 2012-06-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
F305462-1 NY Allopathic & Osteopathic Physicians
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
F340785 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 400 FT. WASHINGTON AVE.
SUITE 1A
City NEW YORK
State NY
Zip Code 10033

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1770141038 Rio Espiritu Physical Therapist 601 West 182nd.street, New York, NY 10033 2019-06-03
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194206441 Madison Physician Practice PC Family Medicine 983 Park Ave # 1d, New York, NY 10028-0808 2018-08-24
1205265030 Jeana Joseph Family Medicine 1275 1st Ave, New York, NY 10065-5605 2013-11-02
1417233735 Robert Tabrizi Family Medicine 216 Fort Washington Ave, New York, NY 10032-1322 2011-11-01
1295980795 Virginia Gerhart Soules Family Medicine 407 Central Park W Apt 2c, New York, NY 10025-4803 2008-11-25
1073772794 Randolph (randy) Eric Gross Family Medicine 161 William Street, Office 508, New York, NY 10038 2008-06-06
1518087030 Lohrasb Ahmadian Family Medicine 160 West 26th Street, New York, NY 10001 2007-03-29
1831286897 Virgilio A. Valdez Family Medicine 619 W 176th St Ofc A, New York, NY 10033-7829 2006-10-09
1609980044 Michelle Li Family Medicine 420 E 51st St, Office A, New York, NY 10022-8014 2006-08-19
1346269636 Teresa Cuadra Family Medicine 275 7th Ave Fl 4, New York, NY 10001-6757 2006-07-18
1841290046 Debbian Fletcher-blake Family Medicine 30 E 33rd St, 5th Floor, New York, NY 10016-5337 2005-07-28
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Competitor

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City NEW YORK
Zip Code 10033

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Dataset Information

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.

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