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1023580040
STEPHANIE GRANATA
SMITHTOWN, NY
NPI
1023580040
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Former Name
STEPHANIE FORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-01-02
Last Update Date
2019-01-02
Business Address
STEPHANIE GRANATA
11 ROUTE 111
SMITHTOWN, NY 11787-3754
Phone number: 631-920-8300
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Mailing Address
STEPHANIE GRANATA
14202 20TH AVE
FLUSHING, NY 11351-3000
Phone number: 917-563-3310
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