Individual
DR. MELVYN GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 BENNETT ST, OCEANSIDE, NY 11572-5501
(516) 231-0759
Mailing address
175 BENNETT ST, OCEANSIDE, NY 11572-5501
(516) 231-0759
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
162860
NY
Other
Enumeration date
11/25/2021
Last updated
11/25/2021
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