Most Relevant Information
Provider Data
| NPI Number: | 1003489204 |
| Provider Name: | ALYSON LAQUIDARA-GRANATA MS ED |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/23/2021 |
| Last Updated: | 02/22/2024 |
Provider Practice Location
1400 OLD COUNTRY RD STE C103N
WESTBURY
NY
115905156
Practice Location Phone/Fax
| Phone: | 8455548664 |
| Fax: |
Provider Mailing Location
75 RAMAPO RD
GARNERVILLE
NY
109231735
Provider Mailing Phone/Fax
| Phone: | 8452288960 |
| Fax: |