GRANT ELY

NEW YORK, NY
NPI1710732920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  031910)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-22
Last Update Date2024-12-09
Business Address
GRANT ELY PA
535 E 70TH ST
NEW YORK, NY 10021-4823
Phone number: 646-797-8995
Mailing Address
GRANT ELY PA
535 E 70TH ST
NEW YORK, NY 10021-4823
Phone number: 646-797-8995