Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYLES GROSSMAN
Deactivated Sole ProprietorMYLES GROSSMAN is a Podiatrist healthcare provider located in MERRICK, New York. NPI 1417950866 is deactivated in the NPPES registry. Verify at CMS.
Podiatrist · MERRICK, NY
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1417950866
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2005 (0.79452054794521 yrs)
- Last Updated
- Jan 20, 2026
- Deactivated
- Mar 17, 2006
- License
-
N004096 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2174 HEWLETT AVESTE 202MERRICK, NY, 115663620Browse NY providers · Browse ZIP 11566
- Phone
- 5163792560
- Fax
- 5165468845
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in MERRICK, NY
| Name | Credential | NPI |
|---|---|---|
| DR. LAWRENCE MARK TESSER | DPM | 1053393868 |
| DR. YOLANDA STAHL | DPM | 1861472839 |
| DR. ROBERT A IRWIN | DPM | 1093760753 |
| MICHAEL CRAIG PENCHUK | DPM | 1336232719 |
| DR. SCOTT M SCHONFELD | DPM | 1750454831 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.