Richard Stephen Grodman in Staten Island - Cardiovascular Disease

Richard Stephen Grodman - NPI 1578502365

Richard Stephen Grodman is a Cardiovascular Disease in Staten Island, New York. Richard Stephen Grodman practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Richard Stephen Grodman is 1578502365. The last update date is 2008-09-17.

Richard Stephen Grodman's current location address is 355 Bard Ave, Staten Island, New York. You can contact this provider via phone number 7188184642 and fax number 7188182755. The mailing address for Richard Stephen Grodman is 355 Bard Ave, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Stephen Grodman
Address 355 Bard Ave, Staten Island, New York
Phone Number 7188184642
Fax Number 7188182755
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1578502365
Provider Enumeration Date 2006-06-06
Last Updated Date 2008-09-17

Provider Mailing Address Detail

Address 355 Bard Ave
City Staten Island
State New York (NY)
Post Code 103101664
Phone Number 7188184642
Fax Number 7188182755

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 123591
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
462859 NY --

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FAQs about Richard Stephen Grodman

What is the Richard Stephen Grodman's unique identification number?

The Richard Stephen Grodman has been assigned the NPI (National Provider Identifier) Number 1578502365 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Richard Stephen Grodman's facilities are geographically located?

The facilities of Richard Stephen Grodman are physically situated at the following location: 355 Bard Ave, Staten Island, NY, 103101664.

What is Richard Stephen Grodman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Richard Stephen Grodman is Cardiovascular Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rc0000X.

When was the Richard Stephen Grodman's 1578502365 issued?

The Richard Stephen Grodman's 1578502365 was issued on 2006-06-06.

When was the information regarding Richard Stephen Grodman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Richard Stephen Grodman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-09-17.

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