Doctor Name: | MRS. IRIS A GRUCELA |
NPI Number: | 1730175878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 003110 |
Business Practice Address: | 800 Northern Blvd Great Neck, NY - 110215314 |
Business Phone Number: | 5168298450 |
Business Fax Number: | 5168298452 |
Mailing Address: | 800 Northern Blvd, GREAT NECK |
State: | NY |
Postal Code: | 110215314 |
Phone Number: | 5168298450 |
Fax Number: | 5168298452 |
NPI Enumeration Date: | 09/23/2005 |
NPI Last Update Date: | 10/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 003110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |