Individual
JUDITH JAZWINSKI GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
77 SHORE RD, MOUNT SINAI, NY 11766-1419
(631) 642-2200
(631) 642-2195
Mailing address
77 SHORE RD, MOUNT SINAI, NY 11766-1419
(631) 642-2200
(631) 642-2195
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
301019 F
NY
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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