Grandusky, Marianne L
Grandusky, Marianne L is an individual health care provider with primary practice located at 177 Fort Washington Ave Mhb 6Gn 435, New York NY 10032-3733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Grandusky, Marianne L can be contacted via phone (212) 305-8932.Contact Information
Primary practice address
177 Fort Washington Ave Mhb 6Gn 435
New York NY 10032-3733
Phone: (212) 305-8932
Fax: (212) 305-3035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0075321 | New York |
Profile Details
| NPI number | 1225093289 |
|---|---|
| LBN Legal business name | Grandusky, Marianne L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | May 12th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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