Gruda, Jennifer J

Gruda, Jennifer J is an individual health care provider with primary practice located at 1044 State St , Schenectady NY 12307-1508. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Gruda, Jennifer J can be contacted via phone (518) 370-1441.

Contact Information

Primary practice address
1044 State St Schenectady NY 12307-1508
Phone: (518) 370-1441
Fax: (518) 395-9431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 023702 New York

Profile Details

NPI number 1790438505
LBN Legal business name Gruda, Jennifer J
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2022
Last updated Feb 1st, 2022 - about 2 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 1790438505 NPPES
New York MEDICAID 02995513
New York Other 331833
New York Other 53099A

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