Individual
MICHAEL BENJAMIN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
611 W 171ST ST APT 4B, NEW YORK, NY 10032-1948
(516) 439-8299
Mailing address
539 W 163RD ST APT 5, NEW YORK, NY 10032-5703
(516) 439-8299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
013311
NY
163W00000X
Registered Nurse
90865401
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407139
NY
Other
Enumeration date
11/06/2023
Last updated
06/09/2025
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