Dr. Michael Gruttadauria
Foot Surgery
1081 Long Pond Rd Suite 130
Rochester
, New York 14626-5002
Dr. Michael Gruttadauria
Foot Surgery
1081 Long Pond Rd Suite 130
Rochester
, New York 14626-5002
(315) 538-8405
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Michael Gruttadauria
- 3400 Autumn Wood Dr
- Macedon, NY
- Zip : 14502-8700
- Phone : (315) 538-8405
Second Address
- Dr. Michael Gruttadauria
- 1081 Long Pond Rd Suite 130
- Rochester, NY
- Zip : 14626-5002
- Phone : (585) 723-3630
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 006156 | NY |
National Provider Identifier
| NPI | 1386601367 |
|---|---|
| Provider Name | Dr. Michael Gruttadauria |
| First Address | Macedon, NY 14502-8700 |
| Second Address | Rochester, NY 14626-5002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2006 |
| Last Update Date | 29/06/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| V09657 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.