Grial Medical, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

218261 Issued in NY

Legal business name

GRIAL MEDICAL, P.C.

Practice address

9913 3Rd Ave
Brooklyn, NY 11209-7935

Phone

(718) 630-9955

Fax

(718) 630-9956

NPI assigned

Feb 14, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Grigory Shtender, M.D.NPI 1952316614

Title

President

Phone

(718) 630-9955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grigory Shtender, M.D., PM&R

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1952316614
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1619010493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9913 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097935",
            "telephone_number": "718-630-9955",
            "fax_number": "718-630-9956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9913 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097935",
            "telephone_number": "718-630-9955",
            "fax_number": "718-630-9956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIAL MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "SHTENDER",
        "authorized_official_first_name": "GRIGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-630-9955",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "218261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Victoria Grey-Wollery, RN
• Julia Bernice Grey, P.A.
• Karlene Grey
• Yanina Greyf, NP
• Lorrie Greynald, LMSW
• Margaret Mary Gribbin, PHARMACIST
• Elena Gribencea
• Viktor Gribenko, MD
• Avigail Gribov
• Tatiana Gribovskaya

• Specialist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.