Grucela, Richard P
Grucela, Richard P is an individual health care provider with primary practice located at 800 Northern Blvd , Great Neck NY 11021-5314. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Grucela, Richard P can be contacted via phone (516) 829-8450.Contact Information
Primary practice address
800 Northern Blvd
Great Neck NY 11021-5314
Phone: (516) 829-8450
Fax: (516) 829-8452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 003102 | New York |
Profile Details
| NPI number | 1104812247 |
|---|---|
| LBN Legal business name | Grucela, Richard P |
| Credentials | MS PT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | May 15th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104812247 | NPPES |
| New York | Other | Q53921 | BCBS |
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