Grover, Susan

Grover, Susan is an sole proprietor health care provider with primary practice located at 1050 Hallock Ave., Suite 4 , Port Jefferson Station NY 11776. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Grover, Susan can be contacted via phone (631) 886-1194.

Contact Information

Primary practice address
1050 Hallock Ave., Suite 4 Port Jefferson Station NY 11776
Phone: (631) 886-1194
Fax: (631) 929-3039
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F400636-1 New York

Profile Details

NPI number 1558406660
LBN Legal business name Grover, Susan
Credentials N.P.P., C.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
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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