Individual
ALEXANDREA KERRY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1285 ROCKAWAY AVE, BROOKLYN, NY 11236-2330
(718) 257-3195
Mailing address
2850 W 24TH ST APT 15G, BROOKLYN, NY 11224-2353
(718) 373-0116
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
655262-1
NY
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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