Grossman, Myles
Grossman, Myles is an sole proprietor health care provider with primary practice located at 2174 Hewlett Ave Ste 202, Merrick NY 11566-3620. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Grossman, Myles can be contacted via phone (516) 379-2560.Contact Information
Primary practice address
2174 Hewlett Ave Ste 202
Merrick NY 11566-3620
Phone: (516) 379-2560
Fax: (516) 546-8845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N004096 | New York |
Profile Details
| NPI number | 1417950866 |
|---|---|
| LBN Legal business name | Grossman, Myles |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | Oct 5th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417950866 | NPPES |
| New York | MEDICAID | 00985117 |
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