(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003534694
Provider Name: TYLER GRANT RN
Entity Type: Individual
Taxonomy Code: 163W00000X
Specialty: Registered Nurse
License Number: 688131
Most Important Dates
Enumeration Date: 08/18/2022
Last Updated: 12/19/2023
Provider Practice Location
301 PROSPECT AVE
SYRACUSE
NY
132031807
Practice Location Phone/Fax
Phone: 3154485111
Fax:
Provider Mailing Location
1305 WALT WHITMAN RD STE 300
MELVILLE
NY
117474300
Provider Mailing Phone/Fax
Phone: 5169453000
Fax: