Grunberger, Ivan

Grunberger, Ivan is an sole proprietor health care provider with primary practice located at 38 6Th Ave Fl 2 , Brooklyn NY 11217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Grunberger, Ivan can be contacted via phone (718) 230-7788.

Contact Information

Primary practice address
38 6Th Ave Fl 2 Brooklyn NY 11217
Phone: (718) 230-7788
Fax: (718) 230-8017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 146673-1 New York

Profile Details

NPI number 1528062247
LBN Legal business name Grunberger, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2005
Last updated Jul 11th, 2018 - about 8 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 1528062247 NPPES
New York MEDICAID 00962161

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