Fitzclaud Grant, M.D.

NPI #1194893990 in Elmont, New York

Provider Information

NPI Number: 1194893990
Entity Type: Individual
Name: Fitzclaud Grant, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Dec 1, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 444 ELMONT RD
City: Elmont
State: New York
ZIP Code: 11003-3529
Phone: (516) 488-3581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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