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Edwina Grossman
Licensed Practical Nurse in Liverpool, New York
NPI 1003024266

Edwina Grossman is a Licensed Practical Nurse based in West Monroe, NY. Edwina Grossman practices in Liverpool, NY. The NPI Number for Edwina Grossman is 1003024266 and holds a License No. 239995-1 (New York).

The current practice location address for Edwina Grossman is 7471 Buckeye Rd, Liverpool, NY and can be reached out via phone at 315-453-3696.

Location: 7471 Buckeye Rd, Liverpool, NY, 13167-4136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003024266
Provider Name
Edwina Grossman
Credential
Provider Entity Type
Individual
Gender
Female
Address
7471 Buckeye Rd, Liverpool, NY, 13167-4136
Phone Number
315-453-3696
Fax Number
Provider Enumeration Date
05/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CX80272R 05 NY
institution
Provider Business Practice Location Address Details
Address
7471 Buckeye Rd
City
Liverpool
State
New York
Zip
13088-4111
Phone Number
315-453-3696
Fax Number
person
Provider Business Mailing Address Details
Address
7471 Buckeye Rd
City
Liverpool
State
New York
Zip
13088-4111
Phone Number
315-453-3696
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
239995-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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