Individual
MRS. LINDA S GROSSKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 DAYTON AVE, MANORVILLE, NY 11949-2005
(631) 801-3090
(631) 878-6404
Mailing address
151 DAYTON AVE, MANORVILLE, NY 11949-2005
(631) 801-3090
(631) 878-6404
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
417765-1
NY
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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