Jack Grobstein
Psychologist
22 Merriewold Ln N
Monroe
, New York 10950-1916
Jack Grobstein
Psychologist
22 Merriewold Ln N
Monroe
, New York 10950-1916
(845) 837-9085
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Jack Grobstein
- 22 Merriewold Ln N
- Monroe, NY
- Zip : 10950-1916
- Phone : (845) 837-9085
Second Address
- Jack Grobstein
- 22 Merriewold Ln N
- Monroe, NY
- Zip : 10950-1916
- Phone : (845) 837-9085
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | NY | |
| Y | 103T00000X | Psychologist | NY |
National Provider Identifier
| NPI | 1013219120 |
|---|---|
| Provider Name | Jack Grobstein |
| First Address | Monroe, NY 10950-1916 |
| Second Address | Monroe, NY 10950-1916 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/11/2010 |
| Last Update Date | 22/11/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.