Individual
DR. DALIT R GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
352 7TH AVE, NEW YORK, NY 10001-5012
(646) 572-8622
Mailing address
352 7TH AVE, NEW YORK, NY 10001-5012
(646) 572-8622
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018962
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2008
Last updated
01/30/2012
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