Individual
DANIELLE MARIE GRANDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
27 NEW DORP LN, STATEN ISLAND, NY 10306-2349
(718) 667-3800
Mailing address
326 PETER AVE, SIDE APT, STATEN ISLAND, NY 10306
(718) 873-5574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010866
NY
Other
Enumeration date
03/27/2006
Last updated
03/30/2011
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