Individual
CHENELLE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 ARKAY DR, HAUPPAUGE, NY 11788-3756
(888) 674-2742
Mailing address
35 ARKAY DR, HAUPPAUGE, NY 11788-3756
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
344832
NY
Other
Enumeration date
08/02/2019
Last updated
02/13/2025
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