Jacqueline C Grosvenor, OSC

Individual provider Active NPI Case Manager/Care Coordinator · Elmsford, NY

NPI 1730440694 · NPPES record last updated Jun 6, 2012

Key facts

NPI
1730440694
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
68 Parkview Rd
Elmsford, NY 10523-3809
Phone
(914) 548-8607
Fax
(914) 548-8607
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

68 Parkview Rd
Elmsford, NY 10523-3809

Mailing address

68 Parkview Rd
Elmsford, NY 10523-3809
Phone (914) 548-8607

Other providers in Elmsford, NY

All providers in Elmsford, NY · Case Manager/Care Coordinator in New York

Sources for this page

Verify at the official NPI Registry.