Individual provider · Type 1 NPI

Leah R. Granucci, CPNP

Pediatric Nurse Practitioner · New York, NY

NPI number 1326164690 Active

Practice location

3959 Broadway, Chony, 5 Tower
New York, NY 10032-1559

Mailing address

2 Alexander Pl
Bronxville, NY 10708-2302

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X381654 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1326164690

Leah R. Granucci, CPNP's National Provider Identifier is 1326164690, issued on Mar 21, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.