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Angelique L Grissom
Specialist in Middletown, New York
NPI 1457613432

Angelique L Grissom is a Specialist based in Middletown, NY. Angelique L Grissom practices in Middletown, NY. The NPI Number for Angelique L Grissom is 1457613432 and holds a License No. (New York).

The current practice location address for Angelique L Grissom is 31 Washington St, Middletown, NY and can be reached out via phone at 347-420-1472.

Location: 31 Washington St, Middletown, NY, 10940-5234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457613432
Provider Name
Angelique L Grissom
Credential
Provider Entity Type
Individual
Gender
Female
Address
31 Washington St, Middletown, NY, 10940-5234
Phone Number
347-420-1472
Fax Number
Provider Enumeration Date
06/14/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31 Washington St
City
Middletown
State
New York
Zip
10940-5234
Phone Number
347-420-1472
Fax Number
person
Provider Business Mailing Address Details
Address
31 Washington St
City
Middletown
State
New York
Zip
10940-5234
Phone Number
347-420-1472
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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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