NPI | 1508820309 |
---|---|
Doing Business As | GRAND STREET MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DUSHANTKUMAR K SHAH President / CEO 845-338-1535 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
207RN0300X Internal Medicine, Nephrology | |
207RG0100X Internal Medicine, Gastroenterology | |
207RP1001X Internal Medicine, Pulmonary Disease | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207V00000X Obstetrics & Gynecology | |
207W00000X Ophthalmology | |
Enumeration Date | 2006-04-17 |
Last Update Date | 2008-01-17 |