Individual
MICHELLE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA RD CDE
Contact information
Practice address
1150 PARK AVE, NEW YORK, NY 10128-1244
(212) 426-3863
Mailing address
PO BOX 751224, FOREST HILLS, FOREST HILLS, NY 11375-8824
(212) 426-3863
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
000010
NY
Other
Enumeration date
05/25/2006
Last updated
05/22/2008
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