Gryszowka, Christian

Gryszowka, Christian is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Gryszowka, Christian can be contacted via phone (315) 772-6652.

Contact Information

Primary practice address
11050 Mount Belvedere Blvd Fort Drum NY 13602-5438
Phone: (315) 772-6652
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 245206 Kentucky

Profile Details

NPI number 1659855724
LBN Legal business name Gryszowka, Christian
Credentials OTD, MS, OTR/L, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2018
Last updated Mar 11th, 2024 - about last year

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 1659855724 NPPES
Kentucky MEDICAID 7100567050

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