Edith Grannum Md Pc

LBN: Edith Grannum Md Pc
Edith Grannum Md Pc is an health care organization with primary practice located at 1815 S Clinton Ave , Rochester NY 14618-5720. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Edith Grannum Md Pc can be contacted via phone (585) 233-1366, or through Grannum, Edith Gwendoline via phone (585) 233-1366.

Contact Information

Primary practice address
1815 S Clinton Ave Rochester NY 14618-5720
Phone: (585) 233-1366
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grannum, Edith Gwendoline Doctor of Medicine (MD)
Phone: (585) 233-1366

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 210929 New York

Profile Details

NPI number 1104003235
LBN Legal business name Edith Grannum Md Pc
DBA Doing business as
Authorized official Grannum, Edith Gwendoline Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated Mar 19th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers