Individual
JODY MARIE GRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
79-56 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379
(914) 474-1115
Mailing address
6719 79TH ST, MIDDLE VILLAGE, NY 11379-2920
(914) 474-1115
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
016299
NY
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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