Individual
DR. ROCCO D GRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 IVY ST, 1ST FLOOR, ELMIRA, NY 14905-1646
(607) 739-1529
(607) 739-1378
Mailing address
571 SAINT JOSEPHS BLVD, 2ND FLOOR, ELMIRA, NY 14901-3230
(607) 271-2050
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
1806731
NY
207RI0011X
Interventional Cardiology Physician
Primary
180673
NY
207RI0011X
Interventional Cardiology Physician
MD444814
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01497947
—
NY
05
—
102239429
—
PA
Enumeration date
08/21/2006
Last updated
10/03/2016
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