Individual
ALICIA C GARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
726 TERRY RD, HAUPPAUGE, NY 11788-3449
(631) 487-2566
Mailing address
726 TERRY RD, HAUPPAUGE, NY 11788-3449
(631) 487-2566
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330229-1
NY
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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