Individual
DR. GRANT LIBRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 W 57TH ST FL 15, NEW YORK, NY 10107-1307
(816) 853-8852
Mailing address
250 W 57TH ST FL 15, NEW YORK, NY 10107-1307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
320882
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2020
Last updated
04/16/2023
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