Mr Paul L Grumback, PT LAC is a
Physical Therapist based in Hicksville, New York. Mr Paul L Grumback is licensed to practice in New York (license number 0059051) and his current practice location is
167 Acre Ln, Hicksville, New York. He can be reached at his office (for appointments etc.) via phone at
(516) 932-3286.
NPI number for Mr Paul L Grumback is 1588653687 and his current mailing address is 167 Acre Ln, Hicksville, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588653687.
Healthcare Provider's Profile
| Full Name | Mr Paul L Grumback |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 167 Acre Ln, Hicksville, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1588653687
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Paul L Grumback such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588653687 | NPI | - | NPPES |
| 2119754 | Other | NY | VUTRA |
| A497485 | Other | NY | OXFORD |
| 6601380 | Other | NY | GHI |
| 8080257 | Other | NY | UHC EMPIRE PLAN |
| 20137P | Other | NY | HIP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 0012381 (New York) | Primary |
| 225100000X | Physical Therapist | 0059051 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Paul L Grumback is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Paul L Grumback, PT LAC
167 Acre Ln,
Hicksville, NY 11801-4442
Ph: (516) 932-3286 | Mr Paul L Grumback, PT LAC
167 Acre Ln,
Hicksville, NY 11801-4442
Ph: (516) 932-3286 |
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