Gruffi, Douglas P

Gruffi, Douglas P is an sole proprietor health care provider with primary practice located at 515 Route 304 Suite 1C, New City NY 10956-3037. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is his primary health care specialty. Gruffi, Douglas P can be contacted via phone (845) 634-0404.

Contact Information

Primary practice address
515 Route 304 Suite 1C New City NY 10956-3037
Phone: (845) 634-0404
Fax: (845) 634-6084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 041912 New York
Dental Providers / Pediatric Dentistry 1223P0221X 041912 New York

Profile Details

NPI number 1225184377
LBN Legal business name Gruffi, Douglas P
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225184377 NPPES
New York MEDICAID 01189844

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