Grossman-Eulau, Judy A

Grossman-Eulau, Judy A is an individual health care provider with primary practice located at 80Th St & 41St Ave , Elmhurst NY 11373. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist is her primary health care specialty. Grossman-Eulau, Judy A can be contacted via phone (718) 334-3900.

Contact Information

Primary practice address
80Th St & 41St Ave Elmhurst NY 11373
Phone: (718) 334-3900
Fax: (718) 334-5958
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X 000376 New York
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18538 New York

Profile Details

NPI number 1306917893
LBN Legal business name Grossman-Eulau, Judy A
Credentials CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jun 20th, 2011 - 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 1306917893 NPPES
New York MEDICAID 00246075

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