Virginia Gridley RN

NPI 1023377355 - Registered Nurse - 163W00000X

NPI Details
NPI 1023377355
Gender Female
Enumeration Date 05/07/2012
Last Updated 05/07/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
50 BROADWAY
LYNBROOK NY, 11563-2519, US
Phone (516) 887-1200
Fax
Business Location
116 BALL PARK LN
HICKSVILLE NY, 11801-4555, US
Phone (516) 935-1743
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 2424511
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According to our database, Virginia Gridley RN NPI is 1023377355, taxonomy code is 163W00000X and license number is 2424511, license state is located at New York. Virginia Gridley RN physically located at 50 Broadway, Lynbrook NY, 11563-2519. NPI Number Virginia Gridley RN has the Individual type.

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1023377355 NPI number is provided on an as is basis without warranty of any kind. 1023377355 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Gridley RN are for informational purposes only.