Individual
EDITH CHRISTINE GROSS II
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
319 S MANNING BLVD, SUITE 202, ALBANY, NY 12208-1742
(518) 435-0842
Mailing address
2154 LYNN ST, SCHENECTADY, NY 12306-4231
(518) 356-4422
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303905
NY
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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