Individual
MRS. CHRISTINE GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
3 ALAN CREST DR, HICKSVILLE, NY 11801-6401
(516) 884-5911
Mailing address
3 ALAN CREST DR, HICKSVILLE, NY 11801-6401
(516) 884-5911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
849144
NY
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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