Grosso, Megan M

Grosso, Megan M is an individual health care provider with primary practice located at 90 Presidential Plz 4Th Floor, Syracuse NY 13202-2240. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Grosso, Megan M can be contacted via phone (315) 464-4243.

Contact Information

Primary practice address
90 Presidential Plz 4Th Floor Syracuse NY 13202-2240
Phone: (315) 464-4243
Fax: (315) 464-5350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 011709 New York

Profile Details

NPI number 1073575460
LBN Legal business name Grosso, Megan M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated May 6th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073575460 NPPES
New York MEDICAID 02877383

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