Individual
EDWARD GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
333 WEST 57TH STREET, SUITE 103, NEW YORK, NY 10019
(212) 265-2161
(718) 956-4133
Mailing address
33 47 14TH STREET, APT 6A, LONG ISLAND CITY, NY 11106
(718) 956-4133
(718) 956-4133
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5624
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01272224
—
NY
01
—
P853351
OXFORD HEALTH PLANS
—
Enumeration date
01/02/2007
Last updated
06/03/2011
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