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Ezra Grenade
Student in an Organized Health Care Education/Training Program in Syracuse, New York
NPI 1043845761

Ezra Grenade is a Student in an Organized Health Care Education/Training Program based in Syracuse, NY. Ezra Grenade practices in Syracuse, NY. The NPI Number for Ezra Grenade is 1043845761 and holds a License No. (New York).

The current practice location address for Ezra Grenade is 600 S Wilbur Ave, Syracuse, NY and can be reached out via phone at 315-476-7441.

Location: 600 S Wilbur Ave, Syracuse, NY, 13204-2730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043845761
Provider Name
Ezra Grenade
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 S Wilbur Ave, Syracuse, NY, 13204-2730
Phone Number
315-476-7441
Fax Number
Provider Enumeration Date
03/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 S Wilbur Ave
City
Syracuse
State
New York
Zip
13204-2730
Phone Number
315-476-7441
Fax Number
person
Provider Business Mailing Address Details
Address
600 S Wilbur Ave
City
Syracuse
State
New York
Zip
13204-2730
Phone Number
315-476-7441
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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