Provider Demographics
NPI:1073773842
Name:GROYSMAN AND ASSOCIATES,CORP
Entity Type:Organization
Organization Name:GROYSMAN AND ASSOCIATES,CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ZOYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPOLYSSOV
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-836-7774
Mailing Address - Street 1:160 72ND ST
Mailing Address - Street 2:SUITE 762
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-2064
Mailing Address - Country:US
Mailing Address - Phone:718-836-7774
Mailing Address - Fax:
Practice Address - Street 1:160 72ND ST
Practice Address - Street 2:SUITE 762
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-2064
Practice Address - Country:US
Practice Address - Phone:718-836-7774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-14
Last Update Date:2008-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY493880-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty