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Individual
DR. STEPHEN A GRANT
Active
Individual
DR. STEPHEN A GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
136171
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401094001
BSNENY
NY
05
—
00884226
—
NY
01
—
01V511
EMPIRE BC
NY
01
—
071009000031
FIDELIS
NY
01
—
08116
MVP
NY
01
—
10000802
CDPHP
NY
01
—
200225
SENIOR WHOLE HEALTH
NY
01
—
47336
GHI/HMO
NY
01
—
7451113
AETNA
NY
Enumeration date
08/01/2006
Last updated
01/18/2018
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