EZRA GRENADE (NPI# 1043845761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043845761 |
| Entity Type | Individual |
| Full Name | EZRA GRENADE |
| Practice Address |
600 S Wilbur Ave Syracuse NY 13204-2730 |
| Practice Telephone | 3154767441 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
600 S WILBUR AVE |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043397490 | Nysarc Inc. Onondaga County Chapter | Clinic/Center | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2006-11-01 |
| 1154972065 | Samantha Sinegar | Student in an Organized Health Care Education/Training Program | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2019-09-23 |
| 1821645292 | Madison Alexis Gonzalez | Speech-Language Pathologist | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2019-08-21 |
| 1003398363 | Christy Lynn Musser | Speech-Language Pathologist | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2018-09-04 |
| 1184154403 | Oxana Panol | Social Worker | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2017-06-19 |
| 1437533437 | Vincent Darden | Social Worker | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2015-07-20 |
| 1386970713 | Michelle Robinson | Social Worker | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2009-10-20 |
| 1598996571 | Nysarc- Arc of Onondaga | Early Intervention Provider Agency | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2009-08-07 |
| 1619007259 | Jenelle M Gallardo | Occupational Therapy Assistant | 600 S Wilbur Ave, Syracuse, NY 13204-2730 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475136 | Joan Sequeira | Student in an Organized Health Care Education/Training Program | 300 Audubon Pkwy Apt 95, Syracuse, NY 13224-1245 | 2020-10-26 |
| 1134728686 | Sarah Grube | Student in an Organized Health Care Education/Training Program | 5599 Thompson Rd Apt A8, Syracuse, NY 13214-1667 | 2020-10-25 |
| 1669070413 | Sarah Lynn Olszewski | Student in an Organized Health Care Education/Training Program | 451 Bryant Ave, Syracuse, NY 13204-2505 | 2020-10-14 |
| 1689281370 | Ashley Summerton | Student in an Organized Health Care Education/Training Program | 721 N Clinton St Apt 315, Syracuse, NY 13204-1255 | 2020-09-26 |
| 1811503055 | Matthew Vincent Morales I | Student in an Organized Health Care Education/Training Program | 904 Westcott St, Syracuse, NY 13210-2508 | 2020-09-22 |
| 1043826282 | Alex J Zwierzynski | Student in an Organized Health Care Education/Training Program | 172 Greenland Dr, Syracuse, NY 13208-3057 | 2020-09-22 |
| 1528674934 | Nicole Kaczor | Student in an Organized Health Care Education/Training Program | 200 Croyden Rd, Syracuse, NY 13224-1935 | 2020-09-21 |
| 1043826480 | Faustin M. Bahizi | Student in an Organized Health Care Education/Training Program | 926 Maryland Ave, Syracuse, NY 13210-2504 | 2020-09-21 |
| 1306452743 | Samantha Elizabeth Monaco | Student in an Organized Health Care Education/Training Program | 1420 Salt Springs Rd, Syracuse, NY 13214-1434 | 2020-09-21 |
| 1528686557 | Siofra Murphy | Student in an Organized Health Care Education/Training Program | 4900 Broad Rd Ste 3m, Syracuse, NY 13215-2265 | 2020-07-07 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.