Individual
MRS. VERONICA A GROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.P
Contact information
Practice address
4655 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2579
(631) 327-5395
(631) 642-7955
Mailing address
30 MARK TWAIN LN, SETAUKET, NY 11733-1764
(631) 689-2410
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
400489
NY
Other
Enumeration date
08/13/2006
Last updated
01/05/2016
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