Individual
MR. BOYSIE A. GRANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3406 BRUNER AVE, 1ST FL., BRONX, NY 10469-2662
(914) 843-1699
Mailing address
3406 BRUNER AVE, 1ST FL., BRONX, NY 10469-2662
(914) 843-1699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
536701
NY
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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