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Alla Granatur

Nurse Practitioner, Family in Marcy, NY. Individual provider (NPI-1).

NPI number1215464367
StatusActive
Last updated in NPPESMay 20, 2017

Details

NPI
1215464367
Entity type
Individual (NPI-1)
Name
Mrs. Alla Granatur
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2017
Last updated
May 20, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Yes · ORDER AND REFERRING ONLY - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyF338762-1NYYes

Practice location

9005 Old River Rd
Marcy, NY 13403-3000

Phone 315-765-3360

Mailing address

Po Box 300
Marcy, NY 13403-0300

Phone 315-765-3360

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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