SearchNew York124Q00000X

Taylor Gruneisen

NPI 1609487438 · on the registry since 2020

Practice

Address
Usa Dentac
10590 Enduring Freedom Drive
Fort Drum, NY 13602
Phone
(315) 772-8891
Clinicians at this address
2

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York