Brian P Grant, NPP | |
54 Dalfonso Rd, Newburgh, NY 12550-7203 | |
(845) 541-3145 | |
Not Available |
Full Name | Brian P Grant |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 54 Dalfonso Rd, Newburgh, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205215266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | F403508 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Garnet Health Medical Center | Middletown, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Access Supports For Living Inc | 8729992730 | 37 |
Entity Name | Access: Supports For Living Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528174976 PECOS PAC ID: 8729992730 Enrollment ID: O20031114000141 |
Mailing Address | Practice Location Address |
---|---|
Brian P Grant, NPP 54 Dalfonso Rd, Newburgh, NY 12550-7203 Ph: (845) 541-3145 | Brian P Grant, NPP 54 Dalfonso Rd, Newburgh, NY 12550-7203 Ph: (845) 541-3145 |
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