Individual
MICHAEL M GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 WESTCHESTER AVE, SUITE A, BRONX, NY 10461-3512
(718) 517-3030
(718) 517-3031
Mailing address
2510 WESTCHESTER AVE, SUITE A, BRONX, NY 10461-3512
(718) 517-3030
(718) 517-3031
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
155707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01070039
—
NY
Enumeration date
10/02/2006
Last updated
08/10/2010
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