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ALYSSA GRUDZINSKI
NPI 1174912471
Licensed Practical Nurse in Medford, NY

Active since January 09, 2015
34 BALSAM DR, MEDFORD, NY 11763(631) 626-5859 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alyssa Grudzinski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA GRUDZINSKI (NPI 1174912471) is an individual licensed practical nurse in Medford, New York, licensed in New York (310389) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1174912471
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameALYSSA GRUDZINSKI
Location Address34 BALSAM DRMedford, NY 11763-4304
Mailing Address34 Balsam DrMedford, NY 11763-4304
Phone(631) 626-5859
Sole ProprietorYes
Enumeration DateJanuary 9, 2015
✔ NPI 1174912471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 310389
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
34 BALSAM DR, Medford, NY 11763
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Grudzinski's NPI number?

The NPI number for Alyssa Grudzinski is 1174912471. It was assigned to this individual provider in the NPPES registry on January 9, 2015.

Where is Alyssa Grudzinski located?

Alyssa Grudzinski practices at 34 Balsam Dr, Medford, NY 11763. The listed phone number is (631) 626-5859.

What is Alyssa Grudzinski's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Alyssa Grudzinski was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.