Individual
DR. CHANTAL Y GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1200, NEW YORK, NY 10029-6504
(212) 241-7788
Mailing address
ONE GUSTAVE L. LEVY PLACE, BOX 1202B, NEW YORK, NY 10029
(212) 241-7788
(212) 876-3255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P6280
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
263123
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080462703
—
TX
Enumeration date
08/11/2011
Last updated
10/26/2022
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