Individual
SERENA GRAINGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT-B
Contact information
Practice address
3677 RIVER RD, YOUNGSTOWN, NY 14174-9700
(716) 628-0496
Mailing address
3677 RIVER RD, YOUNGSTOWN, NY 14174-9700
(716) 628-0496
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
431762
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431762
EMT
NY
Enumeration date
08/05/2017
Last updated
08/05/2017
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