Fitzclaud Grant in Elmont - Specialist

Fitzclaud Grant - NPI 1194893990

Fitzclaud Grant is a Specialist in Elmont, New York. Fitzclaud Grant practices all healthcare services and medical treatments related to Specialist. The NPI Number for Fitzclaud Grant is 1194893990. The last update date is 2007-07-08.

Fitzclaud Grant's current location address is 444 Elmont Rd, Elmont, New York. You can contact this provider via phone number 5164883581. The mailing address for Fitzclaud Grant is 444 Elmont Rd, Elmont, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Fitzclaud Grant
Address 444 Elmont Rd, Elmont, New York
Phone Number 5164883581
Fax Number
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1194893990
Provider Enumeration Date 2006-12-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 444 Elmont Rd
City Elmont
State New York (NY)
Post Code 110033529
Phone Number 5164883581
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 178889
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1222251 NY --

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FAQs about Fitzclaud Grant

What is the unique 10-digit identification code assigned to Fitzclaud Grant by the Centers for Medicare & Medicaid Services?

The Fitzclaud Grant has been issued the NPI (National Provider Identifier) 1194893990, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Fitzclaud Grant located?

The Fitzclaud Grant is located at 444 Elmont Rd, Elmont, NY 110033529.

What is the area of specialization for Fitzclaud Grant, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Fitzclaud Grant is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1194893990 to Fitzclaud Grant?

The Fitzclaud Grant received its 1194893990 assignment from the Centers for Medicare & Medicaid Services on 2006-12-01.

As of what date was the information regarding Fitzclaud Grant, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Fitzclaud Grant, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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