Individual
CHRISTA NICOLE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 WOODS RD STE C1119, VALHALLA, NY 10595-1530
(914) 493-6988
(914) 493-2994
Mailing address
1540 E HOSPITAL DRIVE, MOTT 4-933, ANN ARBOR, MI 48109-4211
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A121328
CA
208600000X
Surgery Physician
TBD
DC
2086S0120X
Pediatric Surgery Physician
Primary
314041-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
4301109184
MI
Other
Enumeration date
05/21/2009
Last updated
06/28/2022
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