Most Relevant Information
Provider Data
| NPI Number: | 1003680232 |
| Provider Name: | YAEL GRALLA |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/08/2023 |
| Last Updated: | 11/08/2023 |
Provider Practice Location
14124 70TH AVE
FLUSHING
NY
113671928
Practice Location Phone/Fax
| Phone: | 9176964165 |
| Fax: |
Provider Mailing Location
14124 70TH AVE
FLUSHING
NY
113671928
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |