Individual
MRS. SANDRA L GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6200
Mailing address
35 IRISH HILL RD, NEWFIELD, NY 14867-9784
(607) 220-7243
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
6352001
NY
Other
Enumeration date
01/28/2010
Last updated
01/23/2014
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