Grossman, Myles

Grossman, Myles is an sole proprietor health care provider with primary practice located at 2174 Hewlett Ave Ste 202, Merrick NY 11566-3620. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Grossman, Myles can be contacted via phone (516) 379-2560.

Contact Information

Primary practice address
2174 Hewlett Ave Ste 202 Merrick NY 11566-3620
Phone: (516) 379-2560
Fax: (516) 546-8845
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004096 New York

Profile Details

NPI number 1417950866
LBN Legal business name Grossman, Myles
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2005
Last updated Oct 5th, 2012 - about 12 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 1417950866 NPPES
New York MEDICAID 00985117

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