Grosso, Tyler N

Grosso, Tyler N is an sole proprietor health care provider with primary practice located at 9205 Rockaway Blvd , Ozone Park NY 11417-2428. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Grosso, Tyler N can be contacted via phone (718) 843-5544.

Contact Information

Primary practice address
9205 Rockaway Blvd Ozone Park NY 11417-2428
Fax: (718) 843-0747
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 50-049667 New York

Profile Details

NPI number 1477641835
LBN Legal business name Grosso, Tyler N
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Jul 8th, 2007 - about 17 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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