Individual
MRS. DAKEETA GRINAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
859 HALSEY ST, #2E, BROOKLYN, NY 11233-1482
(917) 723-7264
(888) 282-8391
Mailing address
859 HALSEY ST, #2E, BROOKLYN, NY 11233-1482
(917) 723-7264
(888) 282-8391
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
09/06/2013
Last updated
09/06/2013
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