Gruder, Scott David

Gruder, Scott David is an individual health care provider with primary practice located at 155 W Roe Blvd St. Joseph'S College John A Danzi Athletic Center, Patchogue NY 11772-2325. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gruder, Scott David can be contacted via phone (631) 447-3330.

Contact Information

Primary practice address
155 W Roe Blvd St. Joseph'S College John A Danzi Athletic Center Patchogue NY 11772-2325
Phone: (631) 447-3330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 001091 New York

Profile Details

NPI number 1316912827
LBN Legal business name Gruder, Scott David
Credentials MSED, ATC, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 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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