Mark Grudberg, PH.D

NPI 1932339157 · on the registry since 2009 · sole proprietor

Practice

Address: 6083 71st St
Maspeth, NY 11378
Phone: (888) 342-6002
Fax: (347) 344-6594
Organisation at this address: Nancy Chiang, Md
Pediatric Psychology Of New York, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York