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DR. RANDOLPH (RANDY) ERIC GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD RN NP CNS

Contact information

Practice address
161 WILLIAM STREET, OFFICE 508, NEW YORK, NY 10038
(212) 618-6029
Mailing address
161 WILLIAM STREET, OFFICE 508, NEW YORK, NY 10038
(212) 618-6029

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
420792
NY
207RX0202X
Medical Oncology Physician
420792
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
420792
NY

Other

Enumeration date
06/06/2008
Last updated
09/10/2018
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