Individual
MARIA GRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 SAINT GEORGE RD, GREAT NECK, NY 11021-2707
(646) 476-0313
Mailing address
2 SAINT GEORGE RD, GREAT NECK, NY 11021-2707
(646) 476-0313
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
743995
NY
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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