Michael Frederic Grunebaum M.D.

NPI 1053439687 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1053439687
Gender Male
Enumeration Date 03/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
200 W 90TH ST APT 1G
NEW YORK NY, 10024-1237, US
Phone (212) 580-4252
Fax (212) 543-6017
Business Location
825 W END AVE
APT. 10E
NEW YORK NY, 10025-5349, US
Phone (212) 580-4252
Fax (212) 543-6017
Toxanomy
Taxonomy Code 2084P0800X
License State New York
License Number 190740
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According to our database, Dr. Michael Frederic Grunebaum M.D. NPI is 1053439687, taxonomy code is 2084P0800X and license number is 190740, license state is located at New York. Michael Frederic Grunebaum M.D. physically located at 200 W 90th St Apt 1g, New York NY, 10024-1237. NPI Number Michael Frederic Grunebaum M.D. has the Individual type.

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1053439687 NPI number is provided on an as is basis without warranty of any kind. 1053439687 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Frederic Grunebaum M.D. are for informational purposes only.