Individual
JENNIFER GRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(917) 693-1185
Mailing address
450 CLARKSON AVENUE - BOX 49, SUNY DOWNSTATE MEDICAL CENTER, BROOKLYN, NY 11203
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
306161
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/28/2017
Last updated
02/02/2023
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