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PHENNUELHY GRANT MIRASOL GRANZON

Deactivated

PHENNUELHY GRANT MIRASOL GRANZON is a Physical Therapy Assistant healthcare provider located in RICHMOND HILL, New York. NPI 1922782069 is deactivated in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · RICHMOND HILL, NY

This NPI has been deactivated. The record was deactivated on January 12, 2024. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1922782069
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2023 (0.59289617486339 yrs)
Last Updated
Mar 12, 2024
Deactivated
Jan 12, 2024
License
050420 (NY)

Practice Information

Address
107-02 R JAMAICA AVE
RICHMOND HILL, NY, 11418
Browse NY providers · Browse ZIP 11418
Phone
3478293890
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in RICHMOND HILL, NY

Name Credential NPI
MISS MAURINE ABARAHAM VILLAPANDO PT 1255364287
ALELI T. GAMBOA RPT 1255417622
MR. JEREMIAH GUADEZ LOPEZ 1497834832
MRS. WINNIE QUIMBA GO PT 1609938620
DIANKAH T ELIGON MS, P.T. 1427185487
MABEL SALCEDO 1376726232
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.