Granada 1 Corp.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GRANADA 1 CORP.

Practice address

6712 Yellowstone Blvd Apt A19
Forest Hills, NY 11375-2329

Phone

(917) 676-5878

NPI assigned

Jun 10, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Carlos Daniel Avendano

Title

Special Education Service Provider

Phone

(917) 676-5878

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1477991735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 YELLOWSTONE BLVD APT A19",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752329",
            "telephone_number": "917-676-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 YELLOWSTONE BLVD APT A19",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752329",
            "telephone_number": "917-676-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANADA 1 CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "AVENDANO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "SPECIAL EDUCATION SERVICE PROVIDER",
        "authorized_official_telephone_number": "917-676-5878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Goykhberg, M.A., CCC-SLP
• Esther Grabel
• Roselin M Graciano
• Caitlin Marie Graham
• Gramercy Cardiac Diagnostic Services, P.C.
• Gail Diane Granat, MS. EDUCATION
• Annie Grandchamps
• Adele Rocyte Grant, MSW
• Kamiah Grant
• Daniel Grapel, DPM

• Specialist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.