Grucela, Iris A

Grucela, Iris A is an individual health care provider with primary practice located at 800 Northern Blvd , Great Neck NY 11021-5314. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Grucela, Iris A can be contacted via phone (516) 829-8450.

Contact Information

Primary practice address
800 Northern Blvd Great Neck NY 11021-5314
Phone: (516) 829-8450
Fax: (516) 829-8452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 003110 New York

Profile Details

NPI number 1730175878
LBN Legal business name Grucela, Iris A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Oct 22nd, 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 1730175878 NPPES
New York Other Q73241 BCBS

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