Individual
KEELY ROSE GRAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 RIVERFRONT BLVD STE 102, ELMWOOD PARK, NJ 07407-1038
(201) 490-5158
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
126164
NY
104100000X
Social Worker
44SL07228100
NJ
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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