Individual
BENJAMIN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
200 CHAMBERS ST, NEW YORK, NY 10007-1131
(212) 962-6600
(212) 962-6605
Mailing address
200 CHAMBERS ST, NEW YORK, NY 10007-1131
(212) 962-6600
(212) 962-6605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019244
NY
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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