Individual
DR. RONALD LEE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3765 RIVERDALE AVE, SUITE 5, BRONX, NY 10463-1845
(718) 601-2700
(718) 601-6102
Mailing address
3765 RIVERDALE AVE, SUITE 5, BRONX, NY 10463-1845
(718) 601-2700
(718) 601-6102
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
196995
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01634197
—
NY
01
—
05926H
GHI MEDICARE
NY
01
—
1043328289
NPI
NY
01
—
110223109
RAILROAD MEDICARE
NY
01
—
8C858
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
08/28/2006
Last updated
01/05/2010
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