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Eddie Degrand

NPI 1598359390 · on the registry since 2021

Practice

Address
110 Lafayette St Rm 501
New York, NY 10013
Phone
(929) 560-9290
Organisation at this address
Advanced Oncology Pc
Sula Malina Lcsw, Pllc
Kim Sing Lo, D.O., P.C.
New York Ent Physician Pc
Tex Marie Gibson Lcsw Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-15

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