Individual
ERIC GROSSARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2571 E 17TH ST, BROOKLYN, NY 11235-3515
(929) 371-2131
Mailing address
35 MANOR RD, LYNBROOK, NY 11563-3611
(347) 200-0692
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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