Individual
KYLE GROSHANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
614 S SALINA ST STE 300, SYRACUSE, NY 13202-3520
(315) 425-0599
(315) 471-6760
Mailing address
614 S SALINA ST STE 300, SYRACUSE, NY 13202-3520
(315) 425-0599
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403120-01
NY
Other
Enumeration date
08/19/2020
Last updated
01/16/2021
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