Grodensky, Susan R.

Grodensky, Susan R. is an sole proprietor health care provider with primary practice located at 26 Azalea Rd , Rochester NY 14620-3020. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Grodensky, Susan R. can be contacted via phone (585) 369-6850.

Contact Information

Primary practice address
26 Azalea Rd Rochester NY 14620-3020
Fax: (585) 319-4108
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 002226 New York

Profile Details

NPI number 1407240682
LBN Legal business name Grodensky, Susan R.
Credentials M.S.O.M., LAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2015
Last updated Mar 25th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407240682 NPPES
New York MEDICAID 002226

Popular Providers