Individual
MR. SCOTT MICHAEL GRALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L. AC.
Contact information
Practice address
2 CORNFIELD LN, COMMACK, NY 11725-2702
(516) 987-1926
Mailing address
2 CORNFIELD LN, COMMACK, NY 11725-2702
(516) 987-1926
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
004220
NY
Other
Enumeration date
01/06/2010
Last updated
04/01/2021
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