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Individual

DR. MICHAEL BRANDON GRODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-8883
Mailing address
115 E 92ND ST STE 1A, NEW YORK, NY 10128-1688
(212) 828-4888

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
254083
NY

Other

Enumeration date
12/22/2008
Last updated
05/10/2018
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