Individual
MR. MARK G GRANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADVANCED CASAC
Contact information
Practice address
1285 MAIN ST FL 2, BUFFALO, NY 14209-1961
(716) 961-6964
Mailing address
1285 MAIN ST FL 2, BUFFALO, NY 14209-1961
(716) 961-6964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32174
NY
Other
Enumeration date
05/12/2023
Last updated
04/21/2024
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