Provider Demographics
NPI:1750691416
Name:GROVER, MONICA (DO)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:GROVER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:160 BROADWAY
Mailing Address - Street 2:EAST BUILDING, 6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4201
Mailing Address - Country:US
Mailing Address - Phone:646-833-0310
Mailing Address - Fax:646-845-9966
Practice Address - Street 1:160 BROADWAY
Practice Address - Street 2:EAST BUILDING, 6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4201
Practice Address - Country:US
Practice Address - Phone:646-833-0310
Practice Address - Fax:646-845-9966
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY257711207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine