Individual
DEMAR GRANDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1314 E 48TH ST, BROOKLYN, NY 11234-2102
(347) 686-4113
Mailing address
1314 E 48TH ST, BROOKLYN, NY 11234-2102
(347) 686-4113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009131
NY
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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