Doctor Name: | ESTHER GRALNICK |
NPI Number: | 1033291281 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | P041599 |
Business Practice Address: | 225 W Montauk Hwy Hampton Bays, NY - 119463531 |
Business Phone Number: | 6317232316 |
Business Fax Number: | 6317232098 |
Mailing Address: | 790 Park Ave, HUNTINGTON |
State: | NY |
Postal Code: | 117434516 |
Phone Number: | 6314273700 |
Fax Number: | 6314270287 |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | P041599 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |