Individual
ADRIEL GRATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
436 BLOOMING GROVE TURNPIKE STE 1100, NUMBER 4058, NEW WINDSOR, NY 12553
(845) 863-3114
Mailing address
PO BOX 4058, NEW WINDSOR, NY 12553-0058
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324555
NY
Other
Enumeration date
03/29/2023
Last updated
08/17/2023
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