MISS Caitlin M Granauro

NPI #1811246002 in Lake Grove, New York

Provider Information

NPI Number: 1811246002
Entity Type: Individual
Name: MISS Caitlin M Granauro
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 3, 2012
Last Updated: Sep 3, 2012

Practice Location

Address: 3 WADE DR
City: Lake Grove
State: New York
ZIP Code: 11755-2324
Phone: (631) 585-2506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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