Individual
CARLY C DIGRAZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-4725
Mailing address
3150 DRAGON LN, WANTAGH, NY 11793-1833
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164631
NCCPA
—
Enumeration date
06/24/2019
Last updated
10/01/2024
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