Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 245752 | NY |
N | 207RG0100X | Gastroenterologist | 245752 | NY |
NPI | 1366460198 |
---|---|
Provider Name | Priya Grewal |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10029-6501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 15/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02417352 | (05) | NY |
H53951 | (02) |