Provider Demographics
NPI:1093148504
Name:GROVES, ALAN MARTIN (MBCHB)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:MARTIN
Last Name:GROVES
Suffix:
Gender:M
Credentials:MBCHB
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Mailing Address - Street 1:525 EAST 68TH STREET
Mailing Address - Street 2:N506
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:212-746-3530
Mailing Address - Fax:212-746-8608
Practice Address - Street 1:525 EAST 68TH STREET
Practice Address - Street 2:N506
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:212-746-3530
Practice Address - Fax:212-746-8608
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2014-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2713462080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine