Individual
MRS. BRITTNEY GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
318 SEGUINE AVE, STATEN ISLAND, NY 10309-3941
(917) 658-1467
Mailing address
129 KING ST, STATEN ISLAND, NY 10308-3126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
342745
NY
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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