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NPI Code Detail

MEDICARE: VICTORIA GRUNTHANER

MEDICARE:   VICTORIA  GRUNTHANER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistCRPA-6359NY
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1154212744
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA GRUNTHANER
Provider Business Mailing Address
First Line : 10615 BETHANY CENTER RD
Second Line :
City : EAST BETHANY
State : NY
Zip : 14054-9751
Country : US
Telephone Number : 716-708-5921
Fax Number :
Provider Business Practice Location Address
First Line : 34 N MAIN ST
Second Line :
City : WARSAW
State : NY
Zip : 14569-1326
Country : US
Telephone Number : 585-786-0220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2025
Last Update Date : 12/17/2025

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Directions to “ VICTORIA GRUNTHANER ” Practice Location

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