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Individual

DANIELLE GRANDRIMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4586
(607) 547-6915
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-4586
(607) 547-6915

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
262656
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275540800
FL
01
P00366353
RR MEDICARE
FL
Enumeration date
06/03/2006
Last updated
09/01/2011
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