Individual
CONNOR MCGRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
(718) 904-3333
Mailing address
1825 EASTCHESTER RD, BRONX, NY 10461-2301
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030320
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2023
Last updated
08/08/2023
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