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Contact Information

JAY A GROTAS, MD
3079 BRIGHTON 13TH ST
BROOKLYN, NY11235
 Phone: 718-743-0101
 Fax: 718-743-8977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JAY A GROTAS · (Male)

NPI # 1548277221
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 124807
  • NY Medicaid 00366601
Hospital affiliation(s)
  • ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE - (Acute Care)
    327 BEACH 19TH STREET
    FAR ROCKAWAY, NY 11691
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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