Individual
BLIMIE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 E 29TH ST APT 2E, BROOKLYN, NY 11210-3708
(718) 679-7094
Mailing address
909 E 29TH ST APT 2E, BROOKLYN, NY 11210-3708
(718) 679-7094
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
026654-01
NY
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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