Most Relevant Information
Provider Data
| NPI Number: | 1003224288 |
| Provider Name: | CLAIRE LOUISE GROSSO |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 401210101 |
Most Important Dates
| Enumeration Date: | 07/31/2014 |
| Last Updated: | 07/31/2014 |
Provider Practice Location
159 W 1ST ST
OSWEGO
NY
131262045
Practice Location Phone/Fax
| Phone: | 3153429575 |
| Fax: |
Provider Mailing Location
219 HAYWOOD RD
SYRACUSE
NY
132192323
Provider Mailing Phone/Fax
| Phone: | 3153955642 |
| Fax: |