Grossman, Robert

Grossman, Robert is an individual health care provider with primary practice located at 836 Sunrise Hwy , Bay Shore NY 11706-5908. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Grossman, Robert can be contacted via phone (631) 665-2500.

Contact Information

Primary practice address
836 Sunrise Hwy Bay Shore NY 11706-5908
Phone: (631) 665-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 22487 New York

Profile Details

NPI number 1699956185
LBN Legal business name Grossman, Robert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2007
Last updated Nov 26th, 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 1699956185 NPPES
New York MEDICAID 01955531

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