Tobias Groneveldt
Early Intervention Provider Agency in Bayside, NY. Individual provider (NPI-1).
NPI number1336596147
StatusActive
Last updated in NPPESMay 21, 2016
Details
- NPI
- 1336596147
- Entity type
- Individual (NPI-1)
- Name
- Tobias Groneveldt
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2016
- Last updated
- May 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 251B00000X | Case Management | – | – |
Practice location
1585 209th StBayside, NY 11360-1127
Phone 718-877-7976 · Fax 718-423-6617
Mailing address
1585 209th StBayside, NY 11360-1127
Phone 718-877-7976 · Fax 718-423-6617
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All 26 Early Intervention Provider Agency providers in Bayside · All 1,933 providers in Bayside
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