Individual
KATHLEEN M GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3003 NEW HYDE PARK ROAD, SUITE 411, NEW HYDE PARK, NY 11042
(516) 327-0001
(516) 326-9753
Mailing address
3003 NEW HYDE PARK ROAD, SUITE 411, NEW HYDE PARK, NY 11042
(516) 327-0001
(516) 326-9753
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303134
NY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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