Provider Demographics
NPI:1992466478
Name:EMBER HEALTH MEDICAL INFUSIONS P.C.
Entity type:Organization
Organization Name:EMBER HEALTH MEDICAL INFUSIONS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GRUNDMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-547-3258
Mailing Address - Street 1:26 COURT ST STE 1901
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11242-1119
Mailing Address - Country:US
Mailing Address - Phone:347-547-3258
Mailing Address - Fax:
Practice Address - Street 1:26 COURT ST STE 1901
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242-1119
Practice Address - Country:US
Practice Address - Phone:347-547-3258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-06
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty