Individual
ELIZABETH C GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LP
Contact information
Practice address
2 5TH AVE # 15-0, NEW YORK, NY 10011-8856
(917) 902-1861
Mailing address
2 5TH AVE # 15-0, NEW YORK, NY 10011-8856
(917) 902-1861
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001109-01
NY
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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