Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Glenn Granum

Individual provider Peer Specialist · NPI 1841957594

Glenn Granum is a Peer Specialist in Monticello, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

396 Broadway
Monticello, NY 12701-1157
Phone: (845) 784-8080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X (NY)

Record details

NPI number1841957594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 17, 2021
Last updated in NPPESNovember 17, 2021
Certification dateNovember 16, 2021
Mailing addressPo Box 573, Ferndale, NY 12734-0573

Other providers in Monticello