Laban Grant, Olgica
Laban Grant, Olgica is an sole proprietor health care provider with primary practice located at 333 Westchester Ave Suite E104, White Plains NY 10604-2910. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Laban Grant, Olgica can be contacted via phone (914) 428-9213.Contact Information
Primary practice address
333 Westchester Ave Suite E104
White Plains NY 10604-2910
Phone: (914) 428-9213
Fax: (914) 428-9282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 240414M60 | New Jersey |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 2218321 | New York |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 25MA07767500 | New Jersey |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 049506 | Connecticut |
Profile Details
| NPI number | 1639158462 |
|---|---|
| LBN Legal business name | Laban Grant, Olgica |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jul 16th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639158462 | NPPES |
| New Jersey | MEDICAID | 0045675 | |
| New Jersey | MEDICAID | 02583333 |
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