Individual
ERIC GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 JORDAN RD, SUITE 100, TROY, NY 12180-8343
(518) 274-9126
Mailing address
711 TROY SCHENECTADY RD, SUITE 203, LATHAM, NY 12110-2442
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
122852
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00314374
—
NY
01
—
AA0890
MEDICARE
NY
01
—
CH8587
RAILROAD MEDICARE
NY
Enumeration date
05/03/2006
Last updated
10/15/2013
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