Marianna Grudziak, PA-C is a
Physician Assistant based in New York, New York. Marianna Grudziak is licensed to practice in New York (license number 031118) and her current practice location is
622 W 168th St, New York, New York. She can be reached at her office (for appointments etc.) via phone at
(212) 305-5138.
NPI number for Marianna Grudziak is 1891193686 and her current mailing address is 622 W 168th St, New York, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891193686.
Healthcare Provider's Profile
Full Name | Marianna Grudziak |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 622 W 168th St, New York, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891193686
- Provider Enumeration Date: 12/11/2014
- Last Update Date: 12/26/2023
Medical Identifiers
Medical identifiers for Marianna Grudziak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891193686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 031118 (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. Marianna Grudziak 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 |
Marianna Grudziak, PA-C 622 W 168th St, New York, NY 10032-3720 Ph: () - | Marianna Grudziak, PA-C 622 W 168th St, New York, NY 10032-3720 Ph: (212) 305-5138 |
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