Gross, Edward C

Gross, Edward C is an individual health care provider with primary practice located at 4295 Hempstead Tpke , Bethpage NY 11714-5713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gross, Edward C can be contacted via phone (516) 731-4724.

Contact Information

Primary practice address
4295 Hempstead Tpke Bethpage NY 11714-5713
Fax: (516) 719-3924
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 153956-1 New York

Profile Details

NPI number 1629136791
LBN Legal business name Gross, Edward C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629136791 NPPES
New York MEDICAID 00814402
New York Other EG096A7610

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