Provider Demographics
NPI:1013268275
Name:GROGAN, VIRGINIA VALENTINO (TEACHER OF THE DEAF)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:VALENTINO
Last Name:GROGAN
Suffix:
Gender:F
Credentials:TEACHER OF THE DEAF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 MIDDLE NECK RD
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-1920
Mailing Address - Country:US
Mailing Address - Phone:516-944-3753
Mailing Address - Fax:
Practice Address - Street 1:50 MIDDLE NECK RD
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-1920
Practice Address - Country:US
Practice Address - Phone:516-944-3753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-27
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist