Individual
DR. RICHARD B. GROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
140 W 97TH ST, ROOM 104, NEW YORK, NY 10125-0001
(347) 853-1279
Mailing address
140 W 97TH ST, ROOM 104, NEW YORK, NY 10125-0001
(347) 853-1279
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
000310-1
NY
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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