Grovenburg, James

Grovenburg, James is an individual health care provider with primary practice located at 5 Golden Ln , Kerhonkson NY 12446-1609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Grovenburg, James can be contacted via phone (845) 626-3424.

Contact Information

Primary practice address
5 Golden Ln Kerhonkson NY 12446-1609
Phone: (845) 626-3424
Fax: (845) 626-4627
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 181048-1 New York

Profile Details

NPI number 1710022447
LBN Legal business name Grovenburg, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Nov 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710022447 NPPES
New York MEDICAID 01805201

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