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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427115633 NPPES
New Jersey MEDICAID 5660009
New Jersey MEDICAID 01296506

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