| Mr Gregory R Groth, LMT | |
|
2 Coraci Blvd, Suite 5, Shirley, NY 11967-4833 | |
| (631) 281-0606 | |
| (631) 281-0990 |
| Full Name | Mr Gregory R Groth |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 2 Coraci Blvd, Shirley, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659609949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 019137 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Gregory R Groth, LMT 63 Long Tree Ln, Apt 2, Moriches, NY 11955-2047 Ph: (631) 909-2334 | Mr Gregory R Groth, LMT 2 Coraci Blvd, Suite 5, Shirley, NY 11967-4833 Ph: (631) 281-0606 |
Carmen Spratt, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 484 Lockwood Dr, Shirley, NY 11967 Phone: 631-335-2420 | |
Daneen Colombo, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 691 Montauk Hwy, Shirley, NY 11967 Phone: 631-682-0461 | |
Ms. Martha Ann Taylor, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Coraci Blvd, Suite 5, Shirley, NY 11967 Phone: 631-281-0606 Fax: 631-281-0990 |