Cooper Grossberg, Amy
Cooper Grossberg, Amy is an individual health care provider with primary practice located at 4 Oakdale Ln , Roslyn Heights NY 11577-1535. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Cooper Grossberg, Amy can be contacted via phone (516) 621-8330.Contact Information
Primary practice address
4 Oakdale Ln
Roslyn Heights NY 11577-1535
Phone: (516) 621-8330
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 27T0000A1300 | New Jersey |
Eye and Vision Services Providers / Optometrist | 152W00000X | T005267 | New York |
Profile Details
NPI number | 1427115633 |
---|---|
LBN Legal business name | Cooper Grossberg, Amy |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 3rd, 2007 |
Last updated | May 4th, 2016 - about 8 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 | 1427115633 | NPPES |
New Jersey | MEDICAID | 5660009 | |
New Jersey | MEDICAID | 01296506 |
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