Individual
MR. ANTHONY LUKE GROSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
281 N PARK DR, N MASSAPEQUA, NY 11758-2131
(631) 431-6388
Mailing address
281 N PARK DR, N MASSAPEQUA, NY 11758-2131
(631) 431-6388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009488-1
NY
Other
Enumeration date
05/24/2007
Last updated
09/07/2015
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