GERARD FITZGERALD GRANT

BRENTWOOD, NY
NPI1730727165
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  336676-01)
Enumeration Date2019-12-17
Last Update Date2019-12-17
Business Address
GERARD FITZGERALD GRANT
998 CROOKED HILL RD
BRENTWOOD, NY 11717-1019
Phone number: 631-761-3500
Mailing Address
GERARD FITZGERALD GRANT
14045 169TH ST
JAMAICA, NY 11434-5958
Phone number: 718-306-7917
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