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Fitzclaud Grant, MD
Specialist in Elmont, New York
NPI 1194893990

Fitzclaud Grant is a Specialist based in Elmont, NY. Fitzclaud Grant practices in Elmont, NY and has the professional credentials of MD. The NPI Number for Fitzclaud Grant is 1194893990 and holds a License No. 178889 (New York).

The current practice location address for Fitzclaud Grant is 444 Elmont Rd, Elmont, NY and can be reached out via phone at 516-488-3581.

Location: 444 Elmont Rd, Elmont, NY, 11003-3529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194893990
Provider Name
Fitzclaud Grant
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
444 Elmont Rd, Elmont, NY, 11003-3529
Phone Number
516-488-3581
Fax Number
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01222251 05 NY
institution
Provider Business Practice Location Address Details
Address
444 Elmont Rd
City
Elmont
State
New York
Zip
11003-3529
Phone Number
516-488-3581
Fax Number
person
Provider Business Mailing Address Details
Address
444 Elmont Rd
City
Elmont
State
New York
Zip
11003-3529
Phone Number
516-488-3581
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
178889 (New York)
Definition
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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