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Jack Grabon
NPI 1760659189 · on the registry since 2008 · sole proprietor
Practice
- Address
- 6128 Madison St Apt 1c
Ridgewood, NY 11385 - Phone
- (718) 777-8858
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-04-07
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