Grant Prud'Homme, RNFA

NPI 1598624918 · on the registry since 2026 · sole proprietor

Practice

Address: 214 King St Ste A
Ogdensburg, NY 13669
Phone: (315) 393-3600
Organisation at this address: Eric Li Physician Pc
Ali M Gharagozloo Md Pc
Carthage Area Hospital Inc
Carthage Area Hospital Inc
Carthage Area Hospital Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 90

Registry record

Primary taxonomy: 163WR0006X
163WR0006X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-21

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