National Provider Identifier
Sierra J Grooms
Sierra J Grooms is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Ithaca, NY and a listed phone number of (607) 437-0141.
Profile Overview
- NPI
- 1174241152
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- August 16, 2022
- Last Updated
- August 16, 2022
Practice Location
- 225 S Fulton St Ste D
- Ithaca, NY 14850-3344
Phone: (607) 437-0141
Mailing Address
- 37 Uptown RD Apt 24A
- Ithaca, NY 14850-1609
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1174241152
- Entity Type
- Individual
- Last Name
- Grooms
- First Name
- Sierra
- Middle Name
- J
- Mailing Street Address
- 37 Uptown RD Apt 24A
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1609
- Mailing Country
- US
- Mailing Phone
- (860) 709-8859
- Practice Street Address
- 225 S Fulton St Ste D
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3344
- Practice Country
- US
- Practice Phone
- (607) 437-0141
- Enumeration Date
- August 16, 2022
- Last Updated
- August 16, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)