Grill, Alissa Michelle
Grill, Alissa Michelle is an individual health care provider with primary practice located at 10 Franklin Blvd Suite #102, Long Beach NY 11561-4501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Grill, Alissa Michelle can be contacted via phone (516) 889-0100.Contact Information
Primary practice address
10 Franklin Blvd Suite #102
Long Beach NY 11561-4501
Phone: (516) 889-0100
Fax: (516) 897-2425
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 194998 | New York |
Profile Details
NPI number | 1952467060 |
---|---|
LBN Legal business name | Grill, Alissa Michelle |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 1st, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1952467060 | NPPES |
New York | MEDICAID | 01735744 |
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