Individual
MR. JOHN ANDREW GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MERRICK ROAD, SUITE 100W, ROCKVILLE CENTRE, NY 11570
(516) 632-7050
(516) 632-7074
Mailing address
100 MERRICK ROAD, SUITE 100W, ROCKVILLE CENTRE, NY 11570
(516) 632-7050
(516) 632-7074
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0101282051
VA
207T00000X
Neurological Surgery Physician
04-31027
KS
207T00000X
Neurological Surgery Physician
Primary
264268
NY
2086S0120X
Pediatric Surgery Physician
036-084798
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100149820D
—
KS
05
—
208392217
—
MO
01
—
32553028
BCBS KANSAS CITY
MO
01
—
513490
FIRSTGUARD
KS
Enumeration date
09/23/2005
Last updated
05/09/2024
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