Individual
MR. CIRO THOMAS GRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 MONTAUK HIGHWAY, WEST ISLIP, NY 11795-4212
(631) 422-0700
(631) 422-0703
Mailing address
390 MONTAUK HIGHWAY, WEST ISLIP, NY 11795-4212
(631) 422-0700
(631) 422-0703
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
187985
NY
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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