Groden, David

Groden, David is an sole proprietor health care provider with primary practice located at 15 Marion Pl , Huntington Station NY 11746-4718. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Groden, David can be contacted via phone (631) 673-7237.

Contact Information

Primary practice address
15 Marion Pl Huntington Station NY 11746-4718
Phone: (631) 673-7237
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 022729R New York
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 022729R New York

Profile Details

NPI number 1891857975
LBN Legal business name Groden, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Aug 19th, 2010 - about 14 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 1891857975 NPPES
New York Other 158392 VALUE OPTIONS
New York Other AA70891 VALUE OPTIONS
New York Other 7400801 VALUE OPTIONS
New York Other CS053 VALUE OPTIONS

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