MRS. ALLA GRANATUR (NPI# 1215464367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215464367 |
| Entity Type | Individual |
| Full Name | MRS. ALLA GRANATUR |
| Practice Address |
9005 Old River Rd Marcy NY 13403-3000 |
| Mailing Address |
Po Box 300 Marcy NY 13403-0300 |
| Practice Telephone | 3157653360 |
| Mailing Telephone | 3157653360 |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2017-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F338762-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9005 OLD RIVER RD |
| City | MARCY |
| State | NY |
| Zip Code | 13403-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558456350 | M. Bridget Mckinley | Nurse Practitioner | 9005 Old River Rd, Marcy, NY 13403-3000 | 2006-10-04 |
| 1982249819 | Bibhuti Bhusan Das | Psychiatry & Neurology | 9005 Old River Rd, Marcy, NY 13403-3000 | 2019-11-14 |
| 1013433606 | Nicole Christine Matocha | Nurse Practitioner | 9005 Old River Rd, Marcy, NY 13403-3000 | 2017-08-16 |
| 1689102121 | Josephine Andrea Slifka | Nurse Practitioner | 9005 Old River Rd, Marcy, NY 13403-3000 | 2017-05-29 |
| 1194192880 | Carrie Citrin | Nurse Practitioner | 9005 Old River Rd, Marcy, NY 13403-3000 | 2015-08-28 |
| 1609270248 | Central Ny Psychiatric Center | Pharmacy | 9005 Old River Rd, Marcy, NY 13403-3000 | 2014-10-10 |
| 1528495199 | Cnypc | Psychiatric Hospital | 9005 Old River Rd, Marcy, Marcy, NY 13403-3000 | 2013-09-27 |
| 1629206396 | Brian Krupper | Pharmacist | 9005 Old River Rd, Marcy, NY 13403-3000 | 2009-07-01 |
| 1902030562 | Kathyrn L Bearup | Pharmacist | 9005 Old River Rd, Marcy, NY 13403-3000 | 2009-05-12 |
| 1801020557 | George A Bottoni | Pharmacist | 9005 Old River Rd, Marcy, NY 13403-3000 | 2009-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972085330 | Magdalena Pociecha | Registered Nurse | 6050 Cavanaugh Road, Marcy, NY 13403 | 2018-09-02 |
| 1154856805 | Healthdirect Institutional Pharmacy Services, Inc. | Pharmacy | 9225 River Rd, Marcy, NY 13403 | 2017-05-01 |
| 1396097358 | Denise Bulak | Registered Nurse | 6000 Route 291, Marcy, NY 13403 | 2012-10-15 |
| 1932417649 | Susan O. Shaffer | Occupational Therapist | 9479 Maynard Drive, Marcy, NY 13403 | 2010-09-15 |
| 1356507339 | Karen Ann Tourtelot | Registered Nurse | Central New York Psychiatric Center, River Rd, Marcy, NY 13403 | 2008-07-30 |
| 1407033640 | Randy Allen Dymond | Social Worker | Central New York Psychiatric Center, Old River Road, Marcy, NY 13403 | 2008-01-30 |
| 1972783629 | James A Mastroianni | Pharmacist | 9225 River Road, Marcy, NY 13403 | 2007-11-10 |
| 1760604128 | Terry Lee Harding | Nurse Practitioner | United Occupational Medicine, 33 Mitchell Ave #204, Binghamton, NY 13403 | 2007-05-03 |
| 1073730651 | Marybeth Russo | Social Worker | 9975 Hillside Terrace, Marcy, NY 13403 | 2007-04-18 |
| 1447388848 | Mountainside Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 5995 Route 291, Marcy, NY 13403 | 2007-02-28 |
| Find all providers in zip 13403 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295191880 | Amy Ferguson | Nurse Practitioner | 9001 Old River Road, Marcy, NY 13403-0216 | 2016-01-12 |
| 1689102121 | Josephine Andrea Slifka | Nurse Practitioner | 9005 Old River Rd, Marcy, NY 13403-3000 | 2017-05-29 |
| 1578607024 | Cynthia Jean Grabski | Nurse Practitioner | 100 Campus Dr, Campus Center 217, Marcy, NY 13403 | 2007-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.