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Contact Information

FELIX J GRUCCI III, DO
101 HOSPITAL ROAD
ACCESS CENTER
PATCHOGUE, NY11772-4870
 Phone: 631-654-7760
 Fax: 631-447-3044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for FELIX J GRUCCI III · (Male)

NPI # 1073824454
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/30/2010
Last updated 09/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS13068
  • NY License # 286656
  • FL Medicaid 110890100
  • NY Medicaid 04672437
  • NY Other 286656-4W WORKER'S COMPENSATION
Hospital affiliation(s)
  • BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER - (Acute Care)
    101 HOSPITAL ROAD
    PATCHOGUE, NY 11772
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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