Individual
JAMIE MICHELLE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 327-7002
Mailing address
2703 BAYVIEW AVE, MERRICK, NY 11566-4731
(516) 578-5263
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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