Provider Demographics
NPI:1447922943
Name:GRAUS, CHANIE (MASTERS SCHOOL PSYCH)
Entity type:Individual
Prefix:
First Name:CHANIE
Middle Name:
Last Name:GRAUS
Suffix:
Gender:F
Credentials:MASTERS SCHOOL PSYCH
Other - Prefix:
Other - First Name:CHANA
Other - Middle Name:LEAH
Other - Last Name:GRAUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BILINGUAL MASTERS
Mailing Address - Street 1:1312 38TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3612
Mailing Address - Country:US
Mailing Address - Phone:718-686-3700
Mailing Address - Fax:
Practice Address - Street 1:1312 38TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3612
Practice Address - Country:US
Practice Address - Phone:718-686-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-02
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date: