Individual
MR. JONATHAN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
158 CAMBRIDGE AVE, GARDEN CITY, NY 11530-4235
(516) 877-4850
Mailing address
128 HARBOUR LN, MASSAPEQUA, NY 11758-7331
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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