Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 245443 | NY |
NPI | 1033377338 |
---|---|
Provider Name | Dr. Zachary Michael Grinspan |
First Address | New York, NY 10032-3735 |
Second Address | New York, NY 10032-3735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 19/12/2011 |