Grodin, Lawrence B

Grodin, Lawrence B is an individual health care provider with primary practice located at 1323 Route 9 Suite 209, Wappingers Falls NY 12590-4904. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grodin, Lawrence B can be contacted via phone (845) 297-0757.

Contact Information

Primary practice address
1323 Route 9 Suite 209 Wappingers Falls NY 12590-4904
Phone: (845) 297-0757
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 037575 New York

Profile Details

NPI number 1144208133
LBN Legal business name Grodin, Lawrence B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 21st, 2009 - about 15 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 1144208133 NPPES
New York Other 037575 NYS LICENSE #

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