Individual
MR. BRUCE M GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6 HYSON WAY, CORAM, NY 11727-1833
(631) 698-0134
Mailing address
6 HYSON WAY, CORAM, NY 11727-1833
(631) 698-0134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R016609
NY
Other
Enumeration date
12/15/2006
Last updated
07/08/2007
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