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Individual

CAROL MARCIA GORDON-GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8 E 3RD ST, NEW YORK, NY 10003-8908
(212) 533-8400
(212) 763-0599
Mailing address
8 E 3RD ST, NEW YORK, NY 10003-8908
(212) 533-8400
(212) 763-0599

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307376
NY

Other

Enumeration date
05/20/2020
Last updated
05/20/2020
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