Individual
MS. ALICE L GROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1421 ELMIRA RD, NEWFIELD, NY 14867-9263
(607) 564-7789
Mailing address
1421 ELMIRA RD, NEWFIELD, NY 14867-9263
(607) 564-7789
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
424371-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02269267
—
NY
01
—
424371-1
NYS RN CERTIFICATE
NY
Enumeration date
03/17/2007
Last updated
07/08/2007
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