Individual
DR. MADELINE H GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0221611
NY
Other
Enumeration date
07/24/2019
Last updated
02/12/2020
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