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Organization
GRANADA 1 CORP.
Active
Organization
GRANADA 1 CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS DANIEL AVENDANO (SPECIAL EDUCATION SERVICE PROVIDER)
(917) 676-5878
Entity
Organization
Contact information
Practice address
6712 YELLOWSTONE BLVD APT A19, FOREST HILLS, NY 11375-2329
(917) 676-5878
Mailing address
6712 YELLOWSTONE BLVD APT A19, FOREST HILLS, NY 11375-2329
(917) 676-5878
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
06/12/2013
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