Individual
MRS. ISABEL GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7140 MAIN ST, KEW GARDENS HILLS, NY 11367-2023
(347) 238-0016
(718) 261-3702
Mailing address
7140 MAIN ST, KEW GARDENS HILLS, NY 11367-2023
(347) 238-0016
(718) 261-3702
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
533926417
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
SERVICE COORDINATOR
NY
Enumeration date
07/17/2014
Last updated
07/17/2014
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