Individual
NICHOLAS GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 HOBART ST, UTICA, NY 13501-4308
(315) 801-1149
(315) 801-3565
Mailing address
201 CHESTNUT HILL RD, STAFFORD SPRINGS, CT 06076-4005
(860) 684-4251
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
72549
CT
207Q00000X
Family Medicine Physician
MD24449
ME
Other
Enumeration date
04/17/2018
Last updated
12/10/2025
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