Individual
JORDANA N GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
828 STATE ROUTE 11, CHAMPLAIN, NY 12919-4966
(518) 298-2691
(518) 298-8241
Mailing address
9 CAREY RD, QUEENSBURY, NY 12804-7880
(518) 761-0300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
335822
NY
Other
Enumeration date
03/21/2022
Last updated
03/13/2026
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