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Individual

MS. GAIL DIANE GRANAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS. EDUCATION

Contact information

Practice address
6945 108TH ST APT 6F, FOREST HILLS, NY 11375-3836
(718) 520-8267
Mailing address
6945 108TH ST APT 6F, FOREST HILLS, NY 11375-3836
(718) 520-8267

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
158403071
NY

Other

Enumeration date
11/30/2008
Last updated
11/30/2008
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