| Doctor Name: | DR. SALVATORE A. GRUTTADAURIA |
| NPI Number: | 1336178821 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | AU.D. |
| License Number: | 846 |
| Business Practice Address: | 2565 Elmwood Ave Kenmore, NY - 142171939 |
| Business Phone Number: | 7168719883 |
| Business Fax Number: | 7168719887 |
| Mailing Address: | 2565 Elmwood Ave, KENMORE |
| State: | NY |
| Postal Code: | 142171939 |
| Phone Number: | 7168719883 |
| Fax Number: | 7168719887 |
| NPI Enumeration Date: | 06/30/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 846 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |