EDWINA GROSSMAN

LIVERPOOL, NY
NPI1003024266
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  239995-1)
Enumeration Date2007-05-20
Last Update Date2007-07-08
Business Address
-- EDWINA GROSSMAN
7471 BUCKEYE RD
LIVERPOOL, NY 13088-4111
Phone number: 315-453-3696
Mailing Address
-- EDWINA GROSSMAN
45 POTTER RD
WEST MONROE, NY 13167-4136
Phone number: