Individual
MRS. KELLY JOANNE GRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5800
Mailing address
24 N MAY PL, NANUET, NY 10954-3447
(914) 338-2517
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432907
NY
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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