Individual
JENNIFER J GRANATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7 SOUTHWOODS BLVD # PC, ALBANY, NY 12211-2514
(518) 292-6000
(518) 292-6050
Mailing address
MEDICAL PAIN MANAGEMENT SERVICES, PLLC, 116 EVERETT ROAD, ALBANY, NY 12205-1427
(518) 463-0171
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F341968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04844684
—
NY
Enumeration date
07/25/2017
Last updated
11/19/2018
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