National Provider Identifier
Edith Grannum, MD
Edith Grannum, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 461-6004.
Profile Overview
- NPI
- 1821060237
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- February 02, 2006
- Last Updated
- June 21, 2012
Practice Location
- 1815 Clinton Ave S Ste 330
- Rochester, NY 14618-5717
Phone: (585) 461-6004
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1821060237
- Entity Type
- Individual
- Last Name
- Grannum
- First Name
- Edith
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1815 Clinton Ave S Ste 330
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-5717
- Mailing Country
- US
- Mailing Phone
- (585) 461-6000
- Mailing Fax
- (585) 461-6009
- Practice Street Address
- 1815 Clinton Ave S Ste 330
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5717
- Practice Country
- US
- Practice Phone
- (585) 461-6004
- Practice Fax
- (585) 461-6009
- Enumeration Date
- February 02, 2006
- Last Updated
- June 21, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01894408 (NY)