Individual
KATHLEEN ANN BRADY-GRIEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
2204 AVALON PINES DR, CORAM, NY 11727-5147
(631) 681-0994
Mailing address
2204 AVALON PINES DR, CORAM, NY 11727-5147
(631) 681-0994
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
NY
Other
Enumeration date
02/13/2007
Last updated
07/26/2007
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