Candice Grogan is a Specialist based in Ronkonkoma, NY. Candice Grogan practices in Ronkonkoma, NY. The NPI Number for Candice Grogan is 1417622192 and holds a License No. 1400608 (New York).
The current practice location address for Candice Grogan is 90 Air Park Dr, Ronkonkoma, NY and can be reached out via phone at 631-580-4001.
Location: 90 Air Park Dr, Ronkonkoma, NY, 11779-7360
Provider Profile Details
NPI Number
1417622192
Provider Name
Candice Grogan
Credential
Provider Entity Type
Individual
Gender
Female
Address
90 Air Park Dr, Ronkonkoma, NY, 11779-7360
Phone Number
631-580-4001
Fax Number
Provider Enumeration Date
08/13/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
90 Air Park Dr
City
State
Zip
11779-7360
Phone Number
631-580-4001
Fax Number
Provider Business Mailing Address Details
Address
90 Air Park Dr
City
State
Zip
11779-7360
Phone Number
631-580-4001
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
1400608 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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