Individual provider · Type 1 NPI
Lisa Kim Ellman-Grunther, MD
Allergy Physician · New York, NY
NPI number
1336107325
Active
Practice location
150 Broadway Rm 713
New York, NY 10038-4334
Fax (646) 493-7299
Mailing address
PO Box 11205
Fairfield, NJ 07004-7205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | 25MMAO7471600 (NJ) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
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About NPI 1336107325
Lisa Kim Ellman-Grunther, MD's National Provider Identifier is 1336107325, issued on May 2, 2006. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in New York, NY. The record was last updated on Nov 5, 2024.