Individual
CAROL GRIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1400 OLD COUNTRY RD STE 103, WESTBURY, NY 11590-5119
(516) 806-6969
Mailing address
22436 HORACE HARDING EXPY, OAKLAND GARDENS, NY 11364-2334
(917) 771-5084
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
118179
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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