RANDALL D GRANT

BRONX, NY
NPI1528370624
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CT  50761)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  02007636A)
208D00000X General Practice
(Licence: NY  257745)
Enumeration Date2010-07-06
Last Update Date2024-10-31
Business Address
RANDALL D GRANT D.O.
4422 3RD AVE
BRONX, NY 10457-2545
Phone number: 718-960-9000
Mailing Address
RANDALL D GRANT D.O.
4422 3RD AVE
BRONX, NY 10457-2545
Phone number: