Grcevic, Joan Carla

Grcevic, Joan Carla is an individual health care provider with primary practice located at 155 Main St , Brewster NY 10509-1521. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Grcevic, Joan Carla can be contacted via phone (845) 279-6999.

Contact Information

Primary practice address
155 Main St Brewster NY 10509-1521
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 042914 New York

Profile Details

NPI number 1346221496
LBN Legal business name Grcevic, Joan Carla
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 9th, 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 1346221496 NPPES
New York MEDICAID 01872435

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