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NPI Code Detail

MEDICARE: ROBERT S. GRIMSHAW, JR. M.D., F.A.C.P.

MEDICARE:   ROBERT S. GRIMSHAW, JR.  M.D., F.A.C.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician143759-1NY
2207RG0300XGeriatric Medicine (Internal Medicine) Physician143759-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1143759-9 CIMOTHERNYWORKERS COMP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033111265
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT S. GRIMSHAW, JR. M.D., F.A.C.P.
Provider Business Mailing Address
First Line : 110 S BEDFORD RD
Second Line : CARE MOUNT MEDICAL, PC
City : MOUNT KISCO
State : NY
Zip : 10549-3446
Country : US
Telephone Number : 914-962-3180
Fax Number : 914-242-1516
Provider Business Practice Location Address
First Line : 3535 HILL BLVD STE R
Second Line : CARE MOUNT MEDICAL PC
City : YORKTOWN HTS
State : NY
Zip : 10598-1209
Country : US
Telephone Number : 914-962-3180
Fax Number : 914-242-1516
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/11/2016

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