Individual
MARSHA DETERS GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
601 ELMWOOD AVE, BOX 647, ROCHESTER, NY 14642-0001
(585) 275-5624
(585) 275-1531
Mailing address
601 ELMWOOD AVE, BOX 647, ROCHESTER, NY 14642-0001
(585) 275-5624
(585) 275-1531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F370017
NY
Other
Enumeration date
08/17/2006
Last updated
04/15/2010
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