Individual
MRS. CAROL SAMUELS GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
56 WAKEFIELD AVE, PORT WASHINGTON, NY 11050-4443
(917) 544-5825
Mailing address
56 WAKEFIELD AVE, PORT WASHINGTON, NY 11050-4443
(917) 544-5825
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
020311
NY
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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