Individual
BETH A GRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA, MSITPM, MHA
Contact information
Practice address
22 CHASE RD, WALLKILL, NY 12589-4501
(845) 863-7003
Mailing address
22 CHASE RD, WALLKILL, NY 12589-4501
(845) 863-7003
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
20234111P
NY
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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