| NPI | 1659626489 |
|---|---|
| Doing Business As | GRAND STREET MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | AMJAD KHAN Billing Manager 845-338-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 252903-1) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |