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EDITH GRANNUM MD PC
NPI 1104003235
Family Medicine in Rochester, NY

Active since January 31, 2008
1815 S CLINTON AVE, ROCHESTER, NY 14618(585) 233-1366 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edith Grannum Md Pc NPPES

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

EDITH GRANNUM MD PC (NPI 1104003235) is a healthcare organization registered as a family medicine in Rochester, New York and active in the NPI registry since January 2008. The organization lists Edith Gwendoline Grannum, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1104003235
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEDITH GRANNUM MD PC
Location Address1815 S CLINTON AVERochester, NY 14618-5720
Mailing AddressPo Box 18545Rochester, NY 14618-8545 · (585) 233-1366
Phone(585) 233-1366
Organization SubpartNo
Authorized OfficialEdith Gwendoline GrannumMedical Director · (585) 233-1366
Enumeration DateJanuary 31, 2008
Last NPPES UpdateMarch 19, 2008
✔ NPI 1104003235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 210929
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1815 S CLINTON AVE, Rochester, NY 14618
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OONA LIM M.D.
Obstetrics & Gynecology
1815 S CLINTON AVE, SUITE 610
ROCHESTER, NY 14618
Monroe County (585) 244-3430
CORAL L. SURGEON M.D.
Obstetrics & Gynecology
1815 S CLINTON AVE, SUITE 610
ROCHESTER, NY 14618
Monroe County (585) 244-3430
STEPHEN E PRESSER MD
Dermatology
1815 S CLINTON AVE, #530
ROCHESTER, NY 14618
Monroe County (585) 442-4310
NANETTE D PHILLIS, MD, PLLC MD
Internal Medicine
1815 S CLINTON AVE, SUITE 340
ROCHESTER, NY 14618
Monroe County (585) 461-9500
TIMOTHY PATRICK SMITH RPAC
Physician Assistant (Medical)
1815 S CLINTON AVE, SUITE 530
ROCHESTER, NY 14618
Monroe County (585) 442-4310
DR. JAMES J INFANTINO DDS
Dentist (Periodontics)
1815 S CLINTON AVE
ROCHESTER, NY 14618
Monroe County (585) 473-7600
DR. JOSEPH LAWRENCE DULSKI DDS
Dentist
1815 S CLINTON AVE, STE 345
ROCHESTER, NY 14618
Monroe County (585) 442-1230
STEPHEN E PRESSER
Dermatology
1815 S CLINTON AVE, SUITE 530
ROCHESTER, NY 14618
Monroe County (585) 442-4310

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 Edith Grannum MD PC's NPI number?

The NPI number for Edith Grannum MD PC is 1104003235. It was assigned to this organization in the NPPES registry on January 31, 2008.

Where is Edith Grannum MD PC located?

Edith Grannum MD PC is located at 1815 S Clinton Ave, Rochester, NY 14618. The listed phone number is (585) 233-1366.

What is Edith Grannum MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Edith Grannum MD PC was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.