Individual
ANDRE GROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
719 W NYACK RD, WEST NYACK, NY 10994-2240
(845) 358-6888
(845) 358-1642
Mailing address
719 W NYACK RD, WEST NYACK, NY 10994-2240
(845) 358-6888
(845) 358-1642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0428591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01505040
—
NY
Enumeration date
01/25/2007
Last updated
07/08/2007
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