Ezra Grenade is a student in an organized health care education training program in Syracuse, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Ezra Grenade NPI is 1043845761. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
600 S WILBUR AVE
SYRACUSE, NY
ZIP 13204-730
Phone: (315) 476-7441
The enumeration date for this NPI number is 3/4/2020 and was last updated on 3/4/2020.