Provider Demographics
NPI:1033727391
Name:GROMMET, JANET KOLMER
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:KOLMER
Last Name:GROMMET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 LINCOLN PLACE
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-1924
Mailing Address - Country:US
Mailing Address - Phone:516-427-4265
Mailing Address - Fax:
Practice Address - Street 1:11 LINCOLN PLACE
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-1924
Practice Address - Country:US
Practice Address - Phone:516-427-4265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered