Healthcare Provider Details

I. General information

NPI: 1003552365
Provider Name (Legal Business Name): ALAINA GARRITY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 05/10/2022
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 NASSAU RD
ROOSEVELT NY
11575-1343
US

IV. Provider business mailing address

1600 STEWART AVE STE 300
WESTBURY NY
11590-6611
US

V. Phone/Fax

Practice location:
  • Phone: 516-571-8600
  • Fax:
Mailing address:
  • Phone: 516-396-0187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: