Individual
BJANAY GRANDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6424 18TH AVE, BROOKLYN, NY 11204-3729
(212) 687-7464
Mailing address
6424 18TH AVE, BROOKLYN, NY 11204-3729
(212) 687-7464
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
346334
NY
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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