Individual
MS. ELIZABETH MARY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAS, SDA, MS. MA EDD
Contact information
Practice address
25-44 82ND ST, EAST ELHURST, NY 11370
(718) 812-1910
Mailing address
25-44 82ND ST, EAST ELMHURST, NY 11370
(718) 812-1910
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
11/05/2013
Last updated
07/21/2022
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