Organization
SUNRISE ENT PC
Active
Organization
SUNRISE ENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GROSSO MD (PHYSICISN)
(631) 226-1800
Entity
Organization
Contact information
Practice address
100 SUNRISE HWY, LINDENHURST, NY 11757-2544
(631) 226-1800
Mailing address
100 SUNRISE HWY, LINDENHURST, NY 11757-2544
(631) 226-1800
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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