Caitlin M Granauro
Specialist in Lake Grove, NY. Individual provider (NPI-1).
NPI number1811246002
StatusActive
Last updated in NPPESSep 3, 2012
Details
- NPI
- 1811246002
- Entity type
- Individual (NPI-1)
- Name
- Miss Caitlin M Granauro
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2012
- Last updated
- Sep 3, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 151826015 | NY | Yes |
Practice location
3 Wade DrLake Grove, NY 11755-2324
Phone 631-585-2506
Mailing address
3 Wade DrLake Grove, NY 11755-2324
Phone 631-585-2506
Is something wrong?
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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All 16 Specialist providers in Lake Grove · All 319 providers in Lake Grove
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