Individual
MS. DEBRA S GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,CDE,CDN
Contact information
Practice address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4500
Mailing address
1879 MADISON AVE, NEW YORK, NY 10035-2709
(212) 423-4500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
002364
NY
Other
Enumeration date
04/13/2011
Last updated
08/03/2011
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