Search › New York › 175T00000X
Glenn Granum
NPI 1841957594 · on the registry since 2021 · sole proprietor
Practice
- Address
- 396 Broadway
Monticello, NY 12701 - Phone
- (845) 784-8080
- Organisation at this address
- Catholic Charities Of Orange, Sullivan & Ulster
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 40
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-17
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