| 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 |