Individual provider · Type 1 NPI
Caitlin M. Granauro
Specialist · Lake Grove, NY
NPI number
1811246002
Active
Practice location
3 Wade Dr
Lake Grove, NY 11755-2324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 151826015 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1811246002
Caitlin M. Granauro's National Provider Identifier is 1811246002, issued on Sep 3, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Lake Grove, NY. The record was last updated on Sep 3, 2012.