Individual
MS. JODEE GRANDWILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
55 MOORE ST, NEW HYDE PARK, NY 11040-1303
(516) 746-3914
(516) 746-3914
Mailing address
55 MOORE ST, NEW HYDE PARK, NY 11040-1303
(516) 746-3914
(516) 746-3914
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-1909809
ACUPUNCTURIST
NY
Enumeration date
03/12/2007
Last updated
07/08/2007
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