Individual
DR. ROBERT THOMAS GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 FORT WASHINGTON AVE FL 5, NEW YORK, NY 10032-3729
(212) 305-3103
(212) 305-9626
Mailing address
PO BOX 27036, NEW YORK, NY 10087-7036
(212) 305-3103
(212) 305-9626
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
159672
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01237874
—
NY
01
—
159672
LICENSE
NY
Enumeration date
07/19/2006
Last updated
04/14/2018
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