Individual
JOSEPH GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADULT-GERI N.P
Contact information
Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-9591
(716) 845-2300
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
307270
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F307270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04326867
—
NY
01
—
1324636
CIGNA
NY
01
—
4403930
MVP
NY
Enumeration date
07/16/2015
Last updated
11/11/2022
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