| NPI | 1346598745 |
|---|---|
| Doing Business As | GRAND STREET MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | AMJAD KHAN Billing Manager 845-338-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 002092-1) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |