Individual
MR. JEAN JOSEPH GRANDOIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN'S ASSISTAN
Contact information
Practice address
2176 NOSTRAND AVENUE, BROOKLYN, NY 11210-0823
(646) 330-8254
Mailing address
P.O.BOX 100823, BROOKLYN, NY 11210-0823
(646) 330-8254
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002867
NY
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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