Individual
MS. DEBRA ANN GROSSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
725 RIVER RD, SUITE 106, EDGEWATER, NJ 07020-1171
(201) 615-9139
(866) 391-3047
Mailing address
446 RADCLIFFE ST, WYCKOFF, NJ 07481-3062
(201) 615-9139
(866) 391-3047
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005443
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005443
HIP
NY
01
—
132845837
MULTIPLAN
NY
01
—
2220176
UNITED
NY
01
—
2951435
USHC
NY
01
—
3C6516
HEALTHNET
NY
01
—
7380369
AETNA
NY
01
—
8000237
GHI
NY
01
—
8672922003
CIGNA
NY
01
—
9074E1
BLUECROSS
NY
01
—
GD5443
ATLANTIS
NY
01
—
P2679923
OXFORD
NY
Enumeration date
07/03/2006
Last updated
06/29/2011
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