Individual provider · Type 1 NPI

Grigory Jacob Valdberg, MD

Primary Care Clinic/Center · Brooklyn, NY

NPI number 1790846046 Active

Practice location

1410 W 3rd St
Brooklyn, NY 11204-4101

Fax (718) 837-1671

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300X202572 (NY)

Primary Care Clinic/Center: Definition to come...

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About NPI 1790846046

Grigory Jacob Valdberg, MD's National Provider Identifier is 1790846046, issued on Dec 12, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.