Groneveldt, Tobias
Groneveldt, Tobias is an sole proprietor health care provider with primary practice located at 1585 209Th St , Bayside NY 11360-1127. He recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Early Intervention Provider Agency. Agencies / Early Intervention Provider Agency is his primary health care specialty. Groneveldt, Tobias can be contacted via phone (718) 877-7976.Contact Information
Primary practice address
1585 209Th St
Bayside NY 11360-1127
Phone: (718) 877-7976
Fax: (718) 423-6617
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Agencies / Early Intervention Provider Agency | 252Y00000X |
Profile Details
| NPI number | 1336596147 |
|---|---|
| LBN Legal business name | Groneveldt, Tobias |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2016 |
| Last updated | May 21st, 2016 - about 9 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 | 1336596147 | NPPES |
| New York | MEDICAID | 1558732420 |
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