JENNA GROSSMAN BAKRUKOV

SYRACUSE, NY
NPI1942063490
Former NameJENNA GROSSMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  352049)
Enumeration Date2024-02-06
Last Update Date2025-01-21
Business Address
JENNA GROSSMAN BAKRUKOV FNP
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 855-964-4673
Mailing Address
JENNA GROSSMAN BAKRUKOV FNP
607 KIMRY MOOR
FAYETTEVILLE, NY 13066-1857
Phone number: 315-256-6624
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