Gritsman, Andrey

Gritsman, Andrey is an individual health care provider with primary practice located at 223 North Van Dien Avenue Valley Hospital, Ridgewood NJ 07450. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Gritsman, Andrey can be contacted via phone (201) 447-8242.

Contact Information

Primary practice address
223 North Van Dien Avenue Valley Hospital Ridgewood NJ 07450
Phone: (201) 447-8242
Fax: (201) 447-8657
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 60261 New Jersey
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA06026100 New Jersey

Profile Details

NPI number 1134277601
LBN Legal business name Gritsman, Andrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Sep 6th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134277601 NPPES
New Jersey MEDICAID 6067000

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