Organization
NYCCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRENDA GRIER M.D., D.O. (ADMINISTRATIVE SECRETARY 1)
(718) 239-3745
Entity
Organization
Contact information
Practice address
1000 WATERS PL, BRONX, NY 10461-2701
(718) 239-3600
(718) 239-3669
Mailing address
1000 WATERS PLACE, BRONX, NY 10461
(718) 239-3600
(718) 239-3669
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
2084P0804X
NY
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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