David Groden in Huntington Station - Clinical

David Groden - NPI 1891857975

David Groden is a Clinical in Huntington Station, New York. David Groden practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Groden is 1891857975. The last update date is 2010-08-19.

David Groden's current location address is 15 Marion Pl, Huntington Station, New York. You can contact this provider via phone number 6316737237. The mailing address for David Groden is 15 Marion Pl, Huntington Station, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name David Groden
Address 15 Marion Pl, Huntington Station, New York
Phone Number 6316737237
Fax Number
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1891857975
Provider Enumeration Date 2006-12-14
Last Updated Date 2010-08-19

Provider Mailing Address Detail

Address 15 Marion Pl
City Huntington Station
State New York (NY)
Post Code 117464718
Phone Number 6316737237
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 022729R
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
158392 NY VALUE OPTIONS
AA70891 NY MDNY
7400801 NY GHI
CS053 NY OXFORD HEALTH PLANS

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FAQs about David Groden

What is the David Groden's 1891857975?

The David Groden's NPI (National Provider Identifier) Number is 1891857975. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where David Groden is physically located?

The David Groden is physically situated at the following address: 15 Marion Pl, Huntington Station, NY, 117464718.

What is David Groden's specialized field of practice, and what is the corresponding taxonomy classification code?

The David Groden's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1891857975 to David Groden?

The Centers for Medicare & Medicaid Services originally issued the 1891857975 to David Groden on 2006-12-14.

As of what date were the details pertaining to David Groden last refreshed?

The information related to the David Groden, including its address, specialty, and other relevant details, was last updated on 2010-08-19.

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