Provider Demographics
NPI:1013082254
Name:GRABOWSKI, DARIUSZ (MD)
Entity Type:Individual
Prefix:
First Name:DARIUSZ
Middle Name:
Last Name:GRABOWSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 MANHATTAN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222-5915
Mailing Address - Country:US
Mailing Address - Phone:718-389-8585
Mailing Address - Fax:718-389-2378
Practice Address - Street 1:934 MANHATTAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222-5915
Practice Address - Country:US
Practice Address - Phone:718-389-8585
Practice Address - Fax:718-389-2378
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224751207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2X1321Medicare PIN
H75640Medicare UPIN