Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 232793 | NY |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 232793 | NY |
Y | 207XX0801X | Orthopaedic Trauma Surgeon | 232793 | NY |
NPI | 1467402909 |
---|---|
Provider Name | Dr. Andrew W Grose |
First Address | New York, NY 10087-2140 |
Second Address | Stamford, CT 06902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 21/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02751146 | (05) | NY |
232793 | LICENSE (01) | NY |
I61138 | (02) | NY |