Individual
DR. EDWARD C GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 731-4724
(516) 719-3924
Mailing address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 731-4724
(516) 719-3924
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
153956-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00814402
—
NY
01
—
EG096A7610
BLUE CROSS BLUE SHIELD
NY
Enumeration date
12/04/2006
Last updated
07/09/2007
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