Individual
JESSICA GROSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 MONTGOMERY ST, SYRACUSE, NY 13202-2923
(315) 435-4565
Mailing address
421 MONTGOMERY ST, SYRACUSE, NY 13202-2923
(315) 435-4565
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
573210-01
NY
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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