Individual
MS. CHARLENE M GRINION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
107 W 4TH ST, ADMINISTRATION, MOUNT VERNON, NY 10550-4002
(914) 699-7200
(914) 699-0837
Mailing address
107 W 4TH ST, ADMINISTRATION, MOUNT VERNON, NY 10550-4002
(914) 699-7200
(914) 699-0837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6781040
REGISTRATION
NY
01
—
F336002
LICENSE
NY
Enumeration date
01/05/2012
Last updated
06/11/2013
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