Edwina Grossman

NPI #1003024266 in Liverpool, New York

Provider Information

NPI Number
1003024266
Entity Type
Individual
Name
Edwina Grossman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 20, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
7471 BUCKEYE RD
ZIP Code
13088-4111
Phone
(315) 453-3696

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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