Individual
ANDREW RYAN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(339) 788-3073
Mailing address
36 FAIRWAYS EDGE DR, MARSHFIELD, MA 02050-4928
(339) 788-3073
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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