Granville Richard Lee

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

167 S 4TH St
Fulton, NY 13069-1859

Phone

(315) 297-1022

NPI assigned

Jan 5, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1295242717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 S 4TH ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691859",
            "telephone_number": "315-297-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 S 4TH ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691859",
            "telephone_number": "315-297-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GRANVILLE",
        "middle_name": "RICHARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Lanzafame, R.PH
• Dawn M Larock, LPN
• Nozrin Laskar, DDS
• Danielle Laurin
• Ed Leclair, LCSW
• Amy Lyn Leotta
• Connor Letcher, PNP-C
• Renee M Lewis, LPN
• Liberty Resources, Inc.
• Liberty Resources, Inc.

• Counselor in Fulton, NY
• Providers in Fulton, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.