| Doctor Name: | TRACEY M GRANT |
| NPI Number: | 1215192802 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 030409-1 |
| Business Practice Address: | 333 Earle Ovington Blvd Suite 225 Uniondale, NY - 115533610 |
| Business Phone Number: | 5163212400 |
| Business Fax Number: | 5163212401 |
| Mailing Address: | 8002 Kew Gardens Rd, 4th Floor KEW GARDENS |
| State: | NY |
| Postal Code: | 114153600 |
| Phone Number: | 7182637500 |
| Fax Number: | 7182637502 |
| NPI Enumeration Date: | 07/23/2008 |
| NPI Last Update Date: | 07/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 030409-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |