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Individual

MRS. IRENE GRYSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7648 173RD ST, FLUSHING, NY 11366-1430
(718) 480-4026
Mailing address
7648 173RD ST, FLUSHING, NY 11366-1430
(718) 480-4026

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
340450
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02022737
NY
Enumeration date
03/05/2007
Last updated
03/07/2023
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