Provider Demographics
NPI:1841328267
Name:GROSSMAN, HOWARD (RPH)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:
Last Name:GROSSMAN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 GRAMERCY PARK N APT 14A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-5439
Mailing Address - Country:US
Mailing Address - Phone:212-473-7424
Mailing Address - Fax:212-348-7891
Practice Address - Street 1:60 GRAMERCY PARK N APT 14A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-5439
Practice Address - Country:US
Practice Address - Phone:212-473-7424
Practice Address - Fax:212-348-7891
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021948183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist