Individual
ANN L GROSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 MADISON ST, SYRACUSE, NY 13210-2319
(315) 426-3600
Mailing address
4960 BRYN MAWR DR, SYRACUSE, NY 13215-2257
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
331905
NY
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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