Individual
BETH A GRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
134 HOMER AVE, BOX 628, CORTLAND, NY 13045-1206
(607) 756-3561
(607) 428-5142
Mailing address
134 HOMER AVE, BOX 628, CORTLAND, NY 13045-1206
(607) 756-3561
(607) 428-5142
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302023
NY
Other
Enumeration date
09/21/2005
Last updated
09/24/2014
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