Individual
BARBARA ANNE GRAULICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1 S 5TH AVE, BRENTWOOD, NY 11717-5403
(631) 434-2213
Mailing address
1 S 5TH AVE, BRENTWOOD, NY 11717-5403
(631) 434-2213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
329400-1
NY
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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