Individual
MR. KENNETH M GRANIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 790-7390
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 790-7390
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
011118-01
NY
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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