National Provider Identifier
Juanita W Grant
Juanita W Grant is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 833-3622.
Profile Overview
- NPI
- 1295488203
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- January 31, 2022
- Last Updated
- February 24, 2022
Practice Location
- 3020 Bailey Ave
- Buffalo, NY 14215-2814
Phone: (716) 833-3622
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1295488203
- Entity Type
- Individual
- Last Name
- Grant
- First Name
- Juanita
- Middle Name
- W
- Mailing Street Address
- 3020 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-2814
- Mailing Country
- US
- Mailing Phone
- (716) 833-3622
- Mailing Fax
- (716) 689-4982
- Practice Street Address
- 3020 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-2814
- Practice Country
- US
- Practice Phone
- (716) 833-3622
- Practice Fax
- (716) 689-4982
- Enumeration Date
- January 31, 2022
- Last Updated
- February 24, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 24, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)