Provider Demographics
NPI:1558504951
Name:GROVER, VANYA (DO)
Entity type:Individual
Prefix:
First Name:VANYA
Middle Name:
Last Name:GROVER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8314 249TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-2146
Mailing Address - Country:US
Mailing Address - Phone:718-470-0211
Mailing Address - Fax:
Practice Address - Street 1:8314 249TH ST
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-2146
Practice Address - Country:US
Practice Address - Phone:718-470-0211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-14
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program