Individual
MICHAEL J GRANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1736 RIDGE RD E, ROCHESTER, NY 14622-2157
(585) 266-8401
(585) 266-2029
Mailing address
125 LATTIMORE RD, SUITE 270, ROCHESTER, NY 14620-4159
(585) 442-2075
(585) 244-4298
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
109331
NY
208C00000X
Colon & Rectal Surgery Physician
Primary
109331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00453732
—
NY
01
—
5913325
AETNA
NY
01
—
MD4B87
PREFERRED CARE
NY
Enumeration date
03/28/2006
Last updated
08/21/2007
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