Physician Compare National (NPI:1346221678)

HEALTHCARE PROVIDER: SVETLANA GROSMAN D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1346221678
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274594130
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041023000108
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GROSMAN
	Individual professional last name
Provider First Name	SVETLANA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	900 AVE H
	Group Practice or individual's line 1 address
Line 2 Street Address	1M
	Group Practice or individual's line 2 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112302834
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330194
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAIMONIDES MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y