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1225093289
MARIANNE L GRANDUSKY
NEW YORK, NY
NPI
1225093289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 0075321)
Enumeration Date
2006-04-20
Last Update Date
2016-05-12
Business Address
-- MARIANNE L GRANDUSKY PA
177 FORT WASHINGTON AVE MHB 6GN 435
NEW YORK, NY 10032-3733
Phone number: 212-305-8932
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Mailing Address
-- MARIANNE L GRANDUSKY PA
177 FORT WASHINGTON AVE MHB 6GN 435
NEW YORK, NY 10032-3733
Phone number: 585-766-5675
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