Individual
ELISSA BETH GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
19 BRADHURST AVE, CHILDREN'S & WOMENS PHYSICIANS OF WESTCHESTER, HAWTHORNE, NY 10532-0000
(914) 594-3916
(914) 594-3585
Mailing address
19 BRADHURST AVE, CHILDREN'S & WOMENS PHYSICIANS OF WESTCHESTER, HAWTHORNE, NY 10532-0000
(914) 594-3916
(914) 594-3585
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
248423
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03068004
—
NY
Enumeration date
11/21/2006
Last updated
03/23/2012
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