Grushack, Ira

Grushack, Ira is an individual health care provider with primary practice located at 714 E Park Ave , Long Beach NY 11561-2605. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Grushack, Ira can be contacted via phone (516) 431-7972.

Contact Information

Primary practice address
714 E Park Ave Long Beach NY 11561-2605
Phone: (516) 431-7972
Fax: (516) 431-7944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 3174 New York

Profile Details

NPI number 1407896897
LBN Legal business name Grushack, Ira
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407896897 NPPES
New York Other 321281 AETNA

Popular Providers