Mroz, Grace
Mroz, Grace is an sole proprietor health care provider with primary practice located at 450 Waverly Ave Building 4 Suite 11, Patchogue NY 11772-1555. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mroz, Grace can be contacted via phone (631) 730-7503.Contact Information
Primary practice address
450 Waverly Ave Building 4 Suite 11
Patchogue NY 11772-1555
Phone: (631) 730-7503
Fax: (631) 307-9422
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 400668 | New York |
Profile Details
| NPI number | 1871676353 |
|---|---|
| LBN Legal business name | Mroz, Grace |
| Credentials | NPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Feb 21st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871676353 | NPPES |
| New York | MEDICAID | 00659412 |
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