Individual
LYNN M GRUCZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
206 S ELMWOOD AVE, BUFFALO, NY 14201-2398
(716) 847-0212
(716) 847-0418
Mailing address
206 S ELMWOOD AVE, EHS INC DBA EVERGREEN HEALTH SERVICES, BUFFALO, NY 14201-2398
(716) 847-0212
(716) 847-2715
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300969
NY
Other
Enumeration date
06/26/2006
Last updated
04/16/2014
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