Individual
CATHERINE GRULLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 CRESCENT AVE, NEWBURGH, NY 12550-3134
(845) 420-9202
Mailing address
32 CRESCENT AVE, NEWBURGH, NY 12550-3134
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326419
NY
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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