Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dalery Grullon, PA-C

Individual provider Physician Assistant · NPI 1558640011

Dalery Grullon, PA-C is a Physician Assistant in Lancaster, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Lancaster General Medical Group, a 582-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York and Pennsylvania.

Years since qualifying
15
Licensed in
NY, PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

540 N Duke St
Lancaster, PA 17602-2374
Phone: (717) 544-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 234 E 149th St, Bronx, NY 10451-5504 — (718) 579-5000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA058779 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 014920 (NY)

Record details

NPI number1558640011
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 15, 2011
Last updated in NPPESMarch 14, 2024
Certification dateMarch 14, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Lancaster General Medical Group — 582 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

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