Individual
GREGORY ERSKINE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BAYNE-JONES ARMY COMMUNITY HOSPITAL, 1585 THIRD ST, FORT POLK, LA 71459-5102
(337) 531-2063
Mailing address
24 HIGHLAND PL, BROOKLYN, NY 11208-1219
(718) 791-8653
(347) 402-2783
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
233767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02691156
—
NY
Enumeration date
02/14/2006
Last updated
10/18/2021
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