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Khadijah Grant
NPI 1376898155 · on the registry since 2012
Practice
- Address
- 14 De Sales Pl
Brooklyn, NY 11207 - Phone
- (917) 826-8614
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York