Individual
MIRIAM SARCO GRAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5404 KENNEDY BLVD W, 2ND FLOOR, WEST NEW YORK, NJ 07093-4609
(551) 482-6948
Mailing address
5404 KENNEDY BLVD W, WEST NEW YORK, NJ 07093-4609
(551) 482-6948
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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