Individual provider · Type 1 NPI

Jean Joseph Grandoit, PHYSICIAN'S ASSISTAN

Medical Physician Assistant · Brooklyn, NY

NPI number 1629290580 Active

Practice location

2176 Nostrand Avenue
Brooklyn, NY 11210-0823

Call (646) 330-8254 Map

Mailing address

P.o.box 100823
Brooklyn, NY 11210-0823

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X002867 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1629290580

Jean Joseph Grandoit, PHYSICIAN'S ASSISTAN's National Provider Identifier is 1629290580, issued on May 2, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.