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Individual

ANTUN GRANCARIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-2000
Mailing address
3019 41ST ST, APT 1, ASTORIA, NY 11103-3401
(917) 542-1622

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
019061
NY
363A00000X
Physician Assistant
Primary
10979
GA

Other

Enumeration date
09/28/2015
Last updated
06/16/2022
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