# ROBERT GROSS MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851697999
- **Authorized official:** DR. ROBERT GROSS M.D. (PRESIDENT)
- **Authorized official phone:** (516) 822-0024

## Contact information

- **Practice address:** 376 S OYSTER BAY RD, HICKSVILLE, NY 11801-3508
- **Practice address phone:** (516) 822-0024
- **Practice address fax:** (516) 822-0719
- **Mailing address:** 376 S OYSTER BAY RD, HICKSVILLE, NY 11801-3508
- **Mailing address phone:** (516) 822-0024
- **Mailing address fax:** (516) 822-0719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 112502 | NY | Yes |

## Other

- **Enumeration date:** 02/08/2011
- **Last updated:** 02/08/2011