Provider Demographics
NPI:1780829101
Name:GRINSHPUN, MARGARITA
Entity Type:Individual
Prefix:
First Name:MARGARITA
Middle Name:
Last Name:GRINSHPUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1463 OCEAN AVE
Mailing Address - Street 2:APT. 3H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3978
Mailing Address - Country:US
Mailing Address - Phone:718-692-4325
Mailing Address - Fax:
Practice Address - Street 1:1463 OCEAN AVE
Practice Address - Street 2:APT. 3H
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3978
Practice Address - Country:US
Practice Address - Phone:718-692-4325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY288330164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse