Individual
DR. SUSAN L GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
490 WEST END AVE APT 12-B, NEW YORK, NY 10024
(917) 715-2600
(212) 769-4728
Mailing address
490 WEST END AVE APT 12-B, NEW YORK, NY 10024
(917) 715-2600
(212) 769-4728
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
NYS143686
NY
Other
Enumeration date
11/02/2006
Last updated
01/31/2019
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