Individual
SONYA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2771 SCHLEIGEL BLVD, AMITYVILLE, NY 11701-1343
(631) 703-7519
Mailing address
2771 SCHLEIGEL BLVD, AMITYVILLE, NY 11701-1343
(631) 703-7519
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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