MARK GRANADOS

ROSLYN, NY
NPI1871101006
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  025159)
Enumeration Date2020-07-14
Last Update Date2020-07-14
Business Address
MARK GRANADOS
100 PORT WASHINGTON BLVD
ROSLYN, NY 11576-1347
Phone number: 516-562-6000
Mailing Address
MARK GRANADOS
195 ELM DR
BAY SHORE, NY 11706-2135
Phone number: 516-808-5932
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