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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952467060 NPPES
New York MEDICAID 01735744

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