Candice Grogan
Candice Grogan is a Specialist in Ronkonkoma, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2021
Practice location Address checks out
90 Air Park DrRonkonkoma, NY 11779-7360
Phone: (631) 580-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 1400608 (NY) |
|---|
Record details
| NPI number | 1417622192 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 13, 2021 |
| Last updated in NPPES | August 13, 2021 |
| Certification date | August 13, 2021 |
| Mailing address | 90 Air Park Dr, Ronkonkoma, NY 11779-7360 |
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