Individual
ELIZABETH GRODIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
486 WILLIS AVE, WILLISTON PARK, NY 11596-1737
(516) 241-5382
Mailing address
486 WILLIS AVE, WILLISTON PARK, NY 11596-1737
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012589
NY
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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