Individual
CARLY DANIELLE GRISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 MAYFLOWER AVE, BRONX, NY 10461-5400
(718) 948-1900
Mailing address
2824 COVERED BRIDGE RD, MERRICK, NY 11566-4817
(516) 491-8119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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