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Individual

STEVEN JAMES GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
736 IRVING AVE RM 9104, SYRACUSE, NY 13210-1687
(315) 470-7282
(315) 470-2923
Mailing address
736 IRVING AVE RM 9104, SYRACUSE, NY 13210-1687
(315) 470-7282
(315) 470-2923

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
126383
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AG3028758
NY
Enumeration date
02/07/2007
Last updated
07/08/2007
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