Individual
MR. BARRY ALLEN GRANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
7005 137TH ST, 2ND FLOOR, FLUSHING, NY 11367-1915
(917) 584-3739
Mailing address
7005 137TH ST, 2ND FLOOR, FLUSHING, NY 11367-1915
(917) 584-3739
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P69377
NY
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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