Individual
MS. SANDI COLLEEN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPP
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-5726
Mailing address
111 GARFIELD ST, EAST ROCHESTER, NY 14445-2249
(585) 248-9136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400665-1
NY
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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