Individual
MRS. ALLA GRANATUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9005 OLD RIVER RD, MARCY, NY 13403-3000
(315) 765-3360
Mailing address
PO BOX 300, MARCY, NY 13403-0300
(315) 765-3360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F338762-1
NY
Other
Enumeration date
05/20/2017
Last updated
05/20/2017
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