Dr Marvin Grossman, DDS is a
Dentist based in Glendale Queens, New York. Dr Marvin Grossman is licensed to practice in New York (license number 22365NY) and his current practice location is
7613 Myrtle Ave, Glendale Queens, New York. He can be reached at his office (for appointments etc.) via phone at
(718) 821-9464.
NPI number for Dr Marvin Grossman is 1124291638 and his current mailing address is 7613 Myrtle Ave, Glendale Queens, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124291638.
Healthcare Provider's Profile
| Full Name | Dr Marvin Grossman |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 7613 Myrtle Ave, Glendale Queens, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124291638
- Provider Enumeration Date: 04/04/2008
- Last Update Date: 04/04/2008
Medical Identifiers
Medical identifiers for Dr Marvin Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124291638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 22365NY (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marvin Grossman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Marvin Grossman, DDS
7613 Myrtle Ave,
Glendale Queens, NY 11385
Ph: (718) 821-9464 | Dr Marvin Grossman, DDS
7613 Myrtle Ave,
Glendale Queens, NY 11385
Ph: (718) 821-9464 |
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