Individual
DR. FELIX JAMES GRUCCI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 HOSPITAL ROAD, ACCESS CENTER, PATCHOGUE, NY 11772-4870
(631) 654-7760
(631) 447-3044
Mailing address
101 HOSPITAL RD UNIT 1E, PATCHOGUE, NY 11772-4870
(631) 654-7760
(631) 447-3053
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
286656
NY
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
OS13068
FL
2084P0800X
Psychiatry Physician
Primary
286656
NY
2084P0800X
Psychiatry Physician
OS13068
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04672437
—
NY
05
—
110890100
—
FL
01
—
286656-4W
WORKER'S COMPENSATION
NY
Enumeration date
06/30/2010
Last updated
09/26/2022
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