Individual provider · Type 1 NPI

Michael Grant

Specialist · Bay Shore, NY

NPI number 1073961538 Active

Practice location

19 Pinebrook Pl
Bay Shore, NY 11706-4417

Call (631) 579-4267 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073961538

Michael Grant's National Provider Identifier is 1073961538, issued on May 25, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bay Shore, NY. The record was last updated on May 25, 2016.