Individual
CAROLYN GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 PINE ST, NEW HYDE PARK, NY 11040-2419
(516) 343-0146
Mailing address
156 PINE ST, NEW HYDE PARK, NY 11040-2419
(516) 343-0146
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
309902
NY
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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