Grodzicki, Jaime L
Grodzicki, Jaime L is an individual health care provider with primary practice located at 95 Grasslands Road Nymc Behavioral Health Center N326, Valhalla NY 10595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Grodzicki, Jaime L can be contacted via phone (914) 493-7124.Contact Information
Primary practice address
95 Grasslands Road Nymc Behavioral Health Center N326
Valhalla NY 10595
Phone: (914) 493-7124
Fax: (914) 493-1015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 194641 | New York |
Profile Details
| NPI number | 1437100922 |
|---|---|
| LBN Legal business name | Grodzicki, Jaime L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Apr 10th, 2008 - about 16 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 | 1437100922 | NPPES |
| New York | MEDICAID | 01685276 |
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