Jennifer Grogan

NPI #1689055691 in Lindenhurst, New York

Provider Information

NPI Number: 1689055691
Entity Type: Individual
Name: Jennifer Grogan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 16, 2015
Last Updated: Jul 23, 2018

Practice Location

Address: 352 CHARLES ST
City: Lindenhurst
State: New York
ZIP Code: 11757
Phone: (845) 216-0597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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