Individual
MR. BRETT ANDREW GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
26 ROLLSTONE AVE, WEST SAYVILLE, NY 11796-1305
(631) 943-1843
Mailing address
26 ROLLSTONE AVE, WEST SAYVILLE, NY 11796-1305
(631) 943-1843
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311555-1
NY
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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