Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | N002070-1 | NY |
NPI | 1437293792 |
---|---|
Provider Name | Dr. Melvyn Grovit |
First Address | Eastchester, NY 10709-1033 |
Second Address | Yonkers, NY 10705-1947 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2007 |
Last Update Date | 22/02/2017 |