Individual
DR. KATHLEEN GRISANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 MAPLE RD, AMHERST, NY 14221-2749
(716) 636-5437
(716) 636-5439
Mailing address
1800 MAPLE RD, AMHERST, NY 14221-2749
(716) 636-5437
(716) 636-5439
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
176526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020033001
UNIVERA
NY
01
—
000529416001
BC/BS
NY
01
—
0014387840001
PA MEDICAID
NY
05
—
01302767
—
NY
01
—
040426000946
FIDELIS
NY
01
—
3905807
IHA
NY
Enumeration date
09/22/2006
Last updated
01/10/2018
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