Individual
BETH R GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 NORTHERN BLVD STE 106, MANHASSET, NY 11030-3033
(516) 365-2500
(516) 365-4980
Mailing address
900 MERCHANTS CONCOURSE STE 216, WESTBURY, NY 11590-5114
(516) 226-8373
(844) 632-8265
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
164265
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4100247
GHI
—
01
—
A628399
OXFORD
—
Enumeration date
10/12/2006
Last updated
11/18/2019
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