Individual
ALEXANDRA ERICA GRINBLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6278 BOOTH ST, REGO PARK, NY 11374-1562
(917) 443-3474
Mailing address
6278 BOOTH ST, REGO PARK, NY 11374-1562
(917) 443-3474
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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