Organization
BROOKLYN OSTEOPATHIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA JANE GRADY D.O. (PHYSICIAN/OWNER)
(917) 685-0187
Entity
Organization
Contact information
Practice address
33 PROSPECT PARK SW, BROOKLYN, NY 11215-5939
(917) 685-0187
Mailing address
33 PROSPECT PARK SW, BROOKLYN, NY 11215-5939
(917) 685-0187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
219244
NY
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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