Individual
MR. MARK DAVID GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC., M.S.T.O.M.
Contact information
Practice address
928 BROADWAY, NEW YORK, NY 10010-6008
(212) 444-8710
Mailing address
138 MAPLE ST, APT 2, CROTON ON HUDSON, NY 10520-2322
(212) 444-8710
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003800-01
NY
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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