Individual
GRANT D ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1003 PARK ST, OGDENSBURG, NY 13669-3911
(518) 481-1251
Mailing address
1215 WASHINGTON ST, WATERTOWN, NY 13601-4339
(315) 286-1589
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-4246
NY
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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