Individual
DR. MICHELE ANN GROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
301 E MAIN ST, SOUTHSIDE HOSPITAL, BAY SHORE, NY 11706-8408
(631) 968-3970
Mailing address
45 MAKAMAH BEACH RD, NORTHPORT, NY 11768-1338
(631) 678-8841
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
266690
NY
207P00000X
Emergency Medicine Physician
OT012144
PA
Other
Enumeration date
08/14/2007
Last updated
01/22/2014
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