SUSAN GROVER

PORT JEFFERSON STATION, NY
NPI1558406660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F400636-1)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
-- SUSAN GROVER N.P.P., C.S
1050 HALLOCK AVE., SUITE 4
PORT JEFFERSON STATION, NY 11776
Phone number: 631-886-1194
Mailing Address
-- SUSAN GROVER N.P.P., C.S
658 SOUND AVE., F11
CALVERTON, NY 11933-1049
Phone number:
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