Individual
JESSICA J GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2637 BROADWAY, NEW YORK, NY 10025-5022
(917) 921-6219
(646) 880-8741
Mailing address
2637 BROADWAY, NEW YORK, NY 10025-5022
(917) 921-6219
(646) 880-8741
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
238187
NY
Other
Enumeration date
10/26/2006
Last updated
09/30/2025
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