Individual
RICHARD GRALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 LAKEVILLE RD, NEW HYDE PARK, NY 11042-1110
(516) 734-8900
(516) 734-8934
Mailing address
972 BRUSH HOLLOW RD, WESTBURY, NY 11590-1740
(516) 876-5555
(516) 876-1246
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
119133
NY
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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