Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edith Grannum MD PC

Organization Family Medicine Physician · NPI 1104003235

Edith Grannum MD PC is a Family Medicine Physician in Rochester, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1815 S Clinton Ave
Rochester, NY 14618-5720
Phone: (585) 233-1366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 210929 (NY)

Record details

NPI number1104003235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edith Grannum — Medical Director · (585) 233-1366
NPI enumeratedJanuary 31, 2008
Last updated in NPPESMarch 19, 2008
Mailing addressPo Box 18545, Rochester, NY 14618-8545

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