Individual
ANA GRANARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 EVERETT ST, LYNBROOK, NY 11563-3231
(646) 361-7165
Mailing address
22 EVERETT ST, LYNBROOK, NY 11563-3231
(646) 361-7165
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
729748
NY
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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