Individual
DR. JONATHAN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 HYLAN BLVD, STATEN ISLAND, NY 10306
(718) 448-3210
(718) 984-2642
Mailing address
2535 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1207
(718) 448-3210
(718) 984-2642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
201792-1
NY
207XX0801X
Orthopaedic Trauma Physician
Primary
201792-1
NY
207XX0801X
Orthopaedic Trauma Physician
25MA07119800
NJ
Other
Enumeration date
07/26/2006
Last updated
05/14/2018
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