Individual
CLIFETTIA GRISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(917) 769-1439
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5739
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
594966
NY
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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