Individual provider · Type 1 NPI

Grigoriy Grenader, DO

Family Medicine Physician · New York, NY

NPI number 1104085679 Active

Practice location

100 Haven Ave Ste 201
New York, NY 10032-2645

Fax (212) 342-3955

Mailing address

2785 W 5th St, APT.7D
Brooklyn, NY 11224-4629

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X255778 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1104085679

Grigoriy Grenader, DO's National Provider Identifier is 1104085679, issued on Jun 9, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in New York, NY. The record was last updated on Mar 19, 2025.