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Organization
SALVATORE J DI GRANDI, M.D., P.C.
Active
Organization
SALVATORE J DI GRANDI, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE S GABBAMONTE (BILL SUPERVISOR)
(845) 255-5532
Entity
Organization
Contact information
Practice address
198 ROUTE 22, PAWLING, NY 12564-3241
(845) 855-5536
Mailing address
198 ROUTE 22, PAWLING, NY 12564-3241
(845) 855-5536
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
173611-3
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01604599
—
NY
Enumeration date
10/29/2007
Last updated
10/29/2007
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