Individual
DR. ERICA RACHEL GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 NICOLLS RD, STONY BROOK, NY 11794-4874
(631) 444-5437
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-2034
(631) 444-8947
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
25MA11248400
NJ
2086S0120X
Pediatric Surgery Physician
60942
WI
Other
Enumeration date
01/17/2009
Last updated
11/03/2021
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