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Dorothy Theresa Grandino
Adult Health Nurse Practitioner in Riverhead, New York
NPI 1720857014

Dorothy Theresa Grandino is an Adult Health Nurse Practitioner based in Flanders, NY and is specialized in Adult Health. Dorothy Theresa Grandino practices in Riverhead, NY. The NPI Number for Dorothy Theresa Grandino is 1720857014 and holds a License No. 311646 (New York).

The current practice location address for Dorothy Theresa Grandino is 1300 Roanoke Ave # Icu, Riverhead, NY and can be reached out via phone at 516-658-2494.

Location: 1300 Roanoke Ave # Icu, Riverhead, NY, 11901-2031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720857014
Provider Name
Dorothy Theresa Grandino
Credential
Provider Entity Type
Individual
Gender
Female
Address
1300 Roanoke Ave # Icu, Riverhead, NY, 11901-2031
Phone Number
516-658-2494
Fax Number
Provider Enumeration Date
12/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1300 Roanoke Ave # Icu
City
Riverhead
State
New York
Zip
11901-2031
Phone Number
516-658-2494
Fax Number
person
Provider Business Mailing Address Details
Address
1300 Roanoke Ave # Icu
City
Riverhead
State
New York
Zip
11901-2031
Phone Number
516-658-2494
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
311646 (New York)
Definition
Definition to come...
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