NPI 1336596147

Tobias Groneveldt

Practitioner Early Intervention Provider Agency Bayside, NY

Practice location

Address: 1585 209th St, Bayside, NY 11360-1127
Phone: (718) 877-7976
Fax: (718) 423-6617

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X

Other Early Intervention Provider Agency providers in New York →

Case Management Agency

Agencies Taxonomy 251B00000X

Other Case Management providers in New York →

Registry record

NPI: 1336596147
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2016
Record last updated: 21 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.