Individual
ANDREA GRYNTYSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 NORTH DR, NORTH MASSAPEQUA, NY 11758-1441
(516) 454-8158
Mailing address
108 SULLIVAN AVE, FARMINGDALE, NY 11735-5018
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015334-1
NY
Other
Enumeration date
11/04/2008
Last updated
09/30/2014
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