Grossman, Susan
Grossman, Susan is an individual health care provider with primary practice located at 1366 Victory Blvd , Staten Island NY 10301-3948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Grossman, Susan can be contacted via phone (718) 273-3400.Contact Information
Primary practice address
1366 Victory Blvd
Staten Island NY 10301-3948
Phone: (718) 273-3400
Fax: (718) 727-3402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 149744 | New York |
Profile Details
| NPI number | 1962513424 |
|---|---|
| LBN Legal business name | Grossman, Susan |
| Credentials | MDQ |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 20th, 2021 - about 4 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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