Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 271346 | NY |
NPI | 1093148504 |
---|---|
Provider Name | Dr. Alan Martin Groves |
First Address | New York, NY 10065 |
Second Address | New York, NY 10065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2013 |
Last Update Date | 10/03/2014 |