Grantley Niles, | |
165 E 58th St Apt 3b, Brooklyn, NY 11203-4833 | |
(718) 791-5628 | |
Not Available |
Full Name | Grantley Niles |
---|---|
Gender | Male |
Speciality | Massage Therapist |
Location | 165 E 58th St Apt 3b, Brooklyn, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063000461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | 031787 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Grantley Niles, 165 E 58th St Apt 3b, Brooklyn, NY 11203-4833 Ph: (718) 791-5628 | Grantley Niles, 165 E 58th St Apt 3b, Brooklyn, NY 11203-4833 Ph: (718) 791-5628 |
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