Individual
DR. RANDOLPH (RANDY) ERIC GROSS
Active
Individual
DR. RANDOLPH (RANDY) ERIC GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD RN NP CNS
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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