Individual
RYAN GRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4011
(516) 433-4400
(516) 433-4032
Mailing address
1 CVS DRIVE, MAIL STOP #3005, WOONSOCKET, RI 02895
(401) 770-2286
(401) 269-4731
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008800
NY
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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