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Individual

AMANDA MARY GROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1000 N VILLAGE AVE, ROCKVILLE CENTRE, NY 11570-1000
(516) 705-2525
Mailing address
809 ARLINGTON DR, SEAFORD, NY 11783-1306
(516) 507-8462

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
06/28/2021
Last updated
08/09/2021
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