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1912095399
SALLYE RENEE GRANBERRY
BROOKLYN, NY
NPI
1912095399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY 165224)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- SALLYE RENEE GRANBERRY M.D.
760 BROADWAY
BROOKLYN, NY 11206-5317
Phone number: 718-963-8136
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Mailing Address
-- SALLYE RENEE GRANBERRY M.D.
1020 E 81ST ST
BROOKLYN, NY 11236-4222
Phone number: 718-513-4591
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