| Dr Bradley Grossman, DC | |
|
455 W 23rd St Apt 1e, New York, NY 10011-2156 | |
| (212) 691-6885 | |
| Not Available |
| Full Name | Dr Bradley Grossman |
|---|---|
| Gender | Male |
| Speciality | Chiropractor - Sports Physician |
| Location | 455 W 23rd St Apt 1e, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114024270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | X006396 (New York) | Primary |
| Provider Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114358348 PECOS PAC ID: 4587950464 Enrollment ID: O20160831002382 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley Grossman, DC 455 W 23rd St Apt 1e, New York, NY 10011-2156 Ph: (212) 691-6885 | Dr Bradley Grossman, DC 455 W 23rd St Apt 1e, New York, NY 10011-2156 Ph: (212) 691-6885 |
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