Congleton, Grady

Congleton, Grady is an sole proprietor health care provider with primary practice located at 18 Goodfriend Dr , East Hampton NY 11937-2584. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Congleton, Grady can be contacted via phone (631) 907-5000.

Contact Information

Primary practice address
18 Goodfriend Dr East Hampton NY 11937-2584
Phone: (631) 907-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 002583 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2451 Massachusetts

Profile Details

NPI number 1205264033
LBN Legal business name Congleton, Grady
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2013
Last updated Oct 14th, 2013 - 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.

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