National Provider Identifier
Michael Joseph Gruttadauria
Michael Joseph Gruttadauria is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Kenmore, NY and a listed phone number of (716) 954-3293.
Profile Overview
- NPI
- 1124366935
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- January 29, 2013
- Last Updated
- January 29, 2013
Practice Location
- 2900 Delaware Avenue
- Kenmore, NY 14217
Phone: (716) 954-3293
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1124366935
- Entity Type
- Individual
- Last Name
- Gruttadauria
- First Name
- Michael
- Middle Name
- Joseph
- Name Prefix
- Mr.
- Mailing Street Address
- 2900 Delaware Avenue
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217
- Mailing Country
- US
- Mailing Phone
- (716) 954-3293
- Practice Street Address
- 2900 Delaware Avenue
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217
- Practice Country
- US
- Practice Phone
- (716) 954-3293
- Enumeration Date
- January 29, 2013
- Last Updated
- January 29, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)