Individual
CAROL A GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
HUTCHINSON METRO CENTER, 1200 WATERS PLACE STE. M103, BRONX, NY 10461
(866) 633-8255
Mailing address
104 FORSTER AVE, MOUNT VERNON, NY 10552-2317
(866) 633-8255
(718) 794-1619
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
199289
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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