Individual
DR. SUZANNE R GRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
191 AMSTERDAM AVE, NEW YORK, NY 10023-5024
(212) 874-1200
Mailing address
191 AMSTERDAM AVE, NEW YORK, NY 10023-5024
(212) 874-1200
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
046685
NY
Other
Enumeration date
03/18/2013
Last updated
02/09/2024
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