Grisafi, Patrick J

Grisafi, Patrick J is an sole proprietor health care provider with primary practice located at 18650 Radnor Rd , Jamaica NY 11432-5829. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Grisafi, Patrick J can be contacted via phone (718) 454-2112.

Contact Information

Primary practice address
18650 Radnor Rd Jamaica NY 11432-5829
Fax: (718) 454-2246
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N002122 New York

Profile Details

NPI number 1699822791
LBN Legal business name Grisafi, Patrick J
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 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 1699822791 NPPES
New York MEDICAID 01727953

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