Organization
DENNIS GROSS DERMATOLOGY LLC
Active
Organization
DENNIS GROSS DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS F GROSS MD (OWNER)
(212) 725-4555
Entity
Organization
Contact information
Practice address
900 5TH AVE, NEW YORK, NY 10021-4157
(212) 725-4555
(212) 725-0946
Mailing address
900 5TH AVE, NEW YORK, NY 10021-4157
(212) 725-4555
(212) 725-0946
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
174233
NY
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477654580
DERMATOLOGY
NY
Enumeration date
11/05/2008
Last updated
07/27/2020
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