Iris A Grucela in Great Neck - Physical Therapist
Iris A Grucela - NPI 1730175878
Iris A Grucela is a Physical Therapist in Great Neck, New York. Iris A Grucela practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Iris A Grucela is 1730175878. The last update date is 2007-10-22.
Iris A Grucela's current location address is 800 Northern Blvd, Great Neck, New York. You can contact this provider via phone number 5168298450 and fax number 5168298452. The mailing address for Iris A Grucela is 800 Northern Blvd, Great Neck, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iris A Grucela |
|---|---|
| Address | 800 Northern Blvd, Great Neck, New York |
| Phone Number | 5168298450 |
| Fax Number | 5168298452 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1730175878 |
|---|---|
| Provider Enumeration Date | 2005-09-23 |
| Last Updated Date | 2007-10-22 |
Provider Mailing Address Detail
| Address | 800 Northern Blvd |
|---|---|
| City | Great Neck |
| State | New York (NY) |
| Post Code | 110215314 |
| Phone Number | 5168298450 |
| Fax Number | 5168298452 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 3110 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Q73241 | NY | BCBS |
Post Comment/ Review Below
What is the Iris A Grucela's unique identification number?
The Iris A Grucela has been assigned the NPI (National Provider Identifier) Number 1730175878 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Iris A Grucela?
The Iris A Grucela is physically situated at 800 Northern Blvd, in the city of Great Neck, state of NY, with the postal code 110215314.
What is the Iris A Grucela's area of specialization and corresponding taxonomy classification?
The Iris A Grucela's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730175878 to Iris A Grucela?
The Centers for Medicare & Medicaid Services originally issued the 1730175878 to Iris A Grucela on 2005-09-23.
As of what date were the details related to Iris A Grucela most recently updated or revised?
The information pertaining to Iris A Grucela, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-22.