Grandwilliams, Jodee

Grandwilliams, Jodee is an sole proprietor health care provider with primary practice located at 55 Moore St , New Hyde Park NY 11040-1303. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Grandwilliams, Jodee can be contacted via phone (516) 746-3914.

Contact Information

Primary practice address
55 Moore St New Hyde Park NY 11040-1303
Fax: (516) 746-3914
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 2000 New York

Profile Details

NPI number 1679605687
LBN Legal business name Grandwilliams, Jodee
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679605687 NPPES
New York Other 25-1909809 ACUPUNCTURIST

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