MEDICARE: MRS. LINDA S GROSSKOPF RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	417765-1	NY

General Provider Information

NPI Number	:	1417200833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA S GROSSKOPF RN

Provider Business Mailing Address
First Line	:	151 DAYTON AVE
Second Line	:
City	:	MANORVILLE
State	:	NY
Zip	:	11949-2005
Country	:	US
Telephone Number	:	631-801-3090
Fax Number	:	631-878-6404

Provider Business Practice Location Address
First Line	:	151 DAYTON AVE
Second Line	:
City	:	MANORVILLE
State	:	NY
Zip	:	11949-2005
Country	:	US
Telephone Number	:	631-801-3090
Fax Number	:	631-878-6404

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2012
Last Update Date	:	10/23/2012

Similar Medicare Providers

1487790606 — EASTPORT SOUTH MANOR CENTRAL SCHOOL DISTRICT
Practice Location Address:

149 DAYTON AVE
MANORVILLE, NY
11949-2005

Practice Phone: 631-874-6735
Practice Fax: 631-878-6308

1982913380 — MRS. CAROL A UNDERWOOD M.A., SLP
Practice Location Address:

149 DAYTON AVE
MANORVILLE, NY
11949-2005

Practice Phone: 631-878-4441
Practice Fax:

1366024135 — NICOLE SCHINDLER
Practice Location Address:

149 DAYTON AVE
MANORVILLE, NY
11949-2005

Practice Phone: 631-801-3040
Practice Fax:

1417906728 — DR. JOHN M KIESECKER D.C.
Practice Location Address:

9 GOLF CLUB CIR
MANORVILLE, NY
11949-2828

Practice Phone: 631-878-5163
Practice Fax: 631-878-3537

1245289982 — MS. NICOLE ANN NEWHART DPT
Practice Location Address:

4 LEA AVE
MANORVILLE, NY
11949-2920

Practice Phone: 631-655-5553
Practice Fax:

1962454561 — STEVEN PAUL TOMASINI PT
Practice Location Address:

5 TEE VIEW CT
MANORVILLE, NY
11949-2939

Practice Phone: 631-874-3032
Practice Fax: 631-874-4105

Directions to “ MRS. LINDA S GROSSKOPF RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.