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Individual
MICHAEL BENJAMIN GROSS
Active
Individual
MICHAEL BENJAMIN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
013311
NY
163W00000X
Registered Nurse
90865401
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407139
NY
Other
Enumeration date
11/06/2023
Last updated
06/09/2025
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