Gruttaria, Tonya Lea

Gruttaria, Tonya Lea is an individual health care provider with primary practice located at 24 Carrow St , Orchard Park NY 14127-2604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Gruttaria, Tonya Lea can be contacted via phone (716) 662-3443.

Contact Information

Primary practice address
24 Carrow St Orchard Park NY 14127-2604
Fax: (716) 972-0374
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F-381526 New York

Profile Details

NPI number 1891896296
LBN Legal business name Gruttaria, Tonya Lea
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Nov 4th, 2010 - about 14 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 1891896296 NPPES
New York Other 000560738003 BLUE CROSS/BLUE SHIELD (HEALTH NOW)
New York MEDICAID 02378572 BLUE CROSS/BLUE SHIELD (HEALTH NOW)
New York Other 00026923001 BLUE CROSS/BLUE SHIELD (HEALTH NOW)
New York Other 9512148 BLUE CROSS/BLUE SHIELD (HEALTH NOW)

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