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1003660291
NIA GRANT
LONG ISLAND CITY, NY
NPI
1003660291
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 031616)
Enumeration Date
2024-04-15
Last Update Date
2024-05-15
Business Address
NIA GRANT PA
2510 30TH AVE
LONG ISLAND CITY, NY 11102-2448
Phone number: 718-932-1000
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Mailing Address
NIA GRANT PA
186 13TH ST
BROOKLYN, NY 11215-4703
Phone number:
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