Individual
DR. ELLIOT GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1761 ROCKAWAY PKWY, BROOKLYN, NY 11236-4825
(718) 531-1100
(718) 444-1614
Mailing address
1761 ROCKAWAY PKWY, BROOKLYN, NY 11236-4825
(718) 531-1100
(718) 444-1614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2949UT
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00333591
—
NY
Enumeration date
03/17/2006
Last updated
04/29/2008
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