Individual
SAFIYA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3440
Mailing address
877 LENOX RD, BROOKLYN, NY 11203-2546
(347) 248-5869
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
018437
NY
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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