National Provider Identifier

Kaley Rae Grammatico

Kaley Rae Grammatico is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner in Rochester, NY and a listed phone number of (585) 275-2100.

NPI 1134731961Rochester, NYPediatric Nurse Practitioner

Profile Overview

NPI
1134731961
Provider Type
Individual
Primary Specialty
Pediatric Nurse Practitioner
Enumeration Date
August 22, 2020
Last Updated
November 12, 2020

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-2100

Mailing Address

  • 24 Coleman Ave
  • Spencerport, NY 14559-1804

Specialties

  • Pediatric Nurse Practitioner (363LP0200X)
Full Record
NPI
1134731961
Entity Type
Individual
Last Name
Grammatico
First Name
Kaley
Middle Name
Rae
Provider Other Last Name
Falkowski
Provider Other First Name
Kaley
Provider Other Middle Name
Rae
Provider Other Last Name Type Code
1
Mailing Street Address
24 Coleman Ave
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559-1804
Mailing Country
US
Mailing Phone
(585) 409-5731
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2100
Enumeration Date
August 22, 2020
Last Updated
November 12, 2020
Sex
Female
Sole Proprietor
No
Certification Date
November 12, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Nurse Practitioner (363LP0200X)