BROOKLYN OSTEOPATHIC, PC
Marriage and Family Therapists at Prospect Park, Brooklyn, NY

License number
New York 219244
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. LAURA JANE GRADY D.O.
Title: PHYSICIAN/OWNER
Phone: (917) 685-0187
Address
Address
33 Prospect Park SW, Brooklyn, NY 11215
National Provider ID: 1639335250
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FIRST BROOKLYN OSTEOPATHIC PC

Brooklyn, NY

Registration:
Nov 5, 2007
Addresses:
2818 Ocean Ave SUITE 1, Brooklyn, NY 11235 (Physical)
2818 Ocean Ave STE 1, Brooklyn, NY 11235 (Physical)
State ID:
3589436
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Michael Riskevich, 2818 Ocean Ave SUITE 1, Brooklyn, NY 11235 (Physical)

BROOKLYN OSTEOPATHIC PC

33 Prospect Park SW, Brooklyn, NY 11215

Status:
Inactive
Inactive reason:
Dissolution by Proclamation / Annulment of Authority
Registration:
Jun 29, 2004
Inactive since:
Jan 26, 2011
State ID:
3072132
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Laura Grady, 33 Prospect Park SW, Brooklyn, NY 11215 (Physical)

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