Individual
MR. SCOTT ADAM GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8502 ROUTE 89, INTERLAKEN, NY 14847-9621
(607) 532-3444
Mailing address
8502 ROUTE 89, INTERLAKEN, NY 14847-9621
(607) 532-3444
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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