Gramercy Medical PC

NPI #1174014971 in Woodside, New York

Provider Information

NPI Number: 1174014971
Entity Type: Organization
Organization Name: Gramercy Medical PC
Primary Specialty: Internal Medicine
Enumeration Date: May 29, 2018
Last Updated: May 29, 2018

Practice Location

Address: 3120 54TH ST STE L2
City: Woodside
State: New York
ZIP Code: 11377-1549
Phone: (718) 476-5859

Authorized Official

Name: MARY ANN WINHEIM
Title: CREDENTIALING AGENT
Phone: (845) 270-7648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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