Individual
NORIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 RIVER ST, ONEONTA, NY 13820-2239
(607) 432-3484
(607) 432-5790
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 729-8156
(607) 729-3982
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
338288
NY
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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