Individual
ANNA GRIGORYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 ATLANTIC PL, HAUPPAUGE, NY 11788-4449
(646) 644-0035
Mailing address
88 ATLANTIC PL, HAUPPAUGE, NY 11788-4449
(646) 644-0035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024461-01
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/15/2019
Last updated
01/28/2025
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