Individual
MR. LEVI YECHIEL GROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
390 BERRY ST STE B, BROOKLYN, NY 11249-6086
(718) 218-7210
Mailing address
188 DONAHUE AVE, INWOOD, NY 11096-1052
(516) 398-4110
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
060626
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2018
Last updated
07/19/2022
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