Individual
EDJONA GROYSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 STROUD AVE, STATEN ISLAND, NY 10312-3244
(347) 215-2015
Mailing address
130 STROUD AVE, STATEN ISLAND, NY 10312-3244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
585720
NY
Other
Enumeration date
02/02/2018
Last updated
11/24/2025
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