National Provider Identifier
Jordan David Grant, MBBS
Jordan David Grant, MBBS is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Williamsville, NY and a listed phone number of (716) 688-9641.
Profile Overview
- NPI
- 1386494169
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- March 25, 2024
- Last Updated
- September 20, 2024
Practice Location
- 850 Hopkins Road
- Williamsville, NY 14221
Phone: (716) 688-9641
Mailing Address
- 135 North Union Street
- Olean, NY 14760
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1386494169
- Entity Type
- Individual
- Last Name
- Grant
- First Name
- Jordan
- Middle Name
- David
- Credential
- MBBS
- Mailing Street Address
- 135 North Union Street
- Mailing City
- Olean
- Mailing State
- NY
- Mailing ZIP Code
- 14760
- Mailing Country
- US
- Mailing Phone
- (716) 375-7500
- Mailing Fax
- (716) 701-1557
- Practice Street Address
- 850 Hopkins Road
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221
- Practice Country
- US
- Practice Phone
- (716) 688-9641
- Practice Fax
- (716) 829-2447
- Enumeration Date
- March 25, 2024
- Last Updated
- September 20, 2024
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)