Individual
MS. AUDREY LYNN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 SUNRISE DR, MIDDLETOWN, NY 10940-2702
(845) 325-0179
Mailing address
8 SUNRISE DR, MIDDLETOWN, NY 10940-2702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/06/2014
Last updated
06/28/2024
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