Provider Demographics
NPI:1699234625
Name:LAGRANDIER, BARBARA ANN GALEA (CRPA-P)
Entity type:Individual
Prefix:
First Name:BARBARA ANN
Middle Name:GALEA
Last Name:LAGRANDIER
Suffix:
Gender:F
Credentials:CRPA-P
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:GALEA
Other - Last Name:LAGRANDIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRPA-P
Mailing Address - Street 1:950 S OYSTER BAY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3510
Mailing Address - Country:US
Mailing Address - Phone:516-822-6111
Mailing Address - Fax:
Practice Address - Street 1:950 S OYSTER BAY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3510
Practice Address - Country:US
Practice Address - Phone:516-822-6111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3588175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist