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EDWINA GROSSMAN
NPI 1003024266
Licensed Practical Nurse in Liverpool, NY

Active since May 20, 2007
7471 BUCKEYE RD, LIVERPOOL, NY 13088(315) 453-3696 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwina Grossman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWINA GROSSMAN (NPI 1003024266) is an individual licensed practical nurse in Liverpool, New York, licensed in New York (239995-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1003024266
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameEDWINA GROSSMAN
Location Address7471 BUCKEYE RDLiverpool, NY 13088-4111
Mailing Address45 Potter RdWest Monroe, NY 13167-4136
Phone(315) 453-3696
Sole ProprietorYes
Enumeration DateMay 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003024266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 239995-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
7471 BUCKEYE RD, Liverpool, NY 13088
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Other Identifiers 1

MedicaidCX80272RNY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwina Grossman's NPI number?

The NPI number for Edwina Grossman is 1003024266. It was assigned to this individual provider in the NPPES registry on May 20, 2007.

Where is Edwina Grossman located?

Edwina Grossman practices at 7471 Buckeye Rd, Liverpool, NY 13088. The listed phone number is (315) 453-3696.

What is Edwina Grossman's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Edwina Grossman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.