Individual provider Active NPI

Laura Lucy Grillo, LAC, MACOM

  • Acupuncturist
  • Esperance, NY
National Provider Identifier
1083518831
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
007978-01 Issued in NY
Practice address
121 Main St Ste 1
Esperance, NY 12066-3219
Phone
(518) 932-7807
NPI assigned
Oct 6, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 007978-01 NY Primary

Addresses

Primary practice location

121 Main St Ste 1
Esperance, NY 12066-3219

Mailing address

132 Frisbieville Rd
Schoharie, NY 12157-2709
Phone (518) 932-7807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1083518831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 FRISBIEVILLE RD",
            "city": "SCHOHARIE",
            "state": "NY",
            "postal_code": "121572709",
            "telephone_number": "518-932-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAIN ST STE 1",
            "city": "ESPERANCE",
            "state": "NY",
            "postal_code": "120663219",
            "telephone_number": "518-932-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLO",
        "first_name": "LAURA",
        "middle_name": "LUCY",
        "credential": "LAC, MACOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "007978-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Esperance, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.