DR. M.D. Ronald Lee Gross, NPI 1043328289
General Practice Physician in Bronx, NY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1043328289
NPI Entity Type Individual
Provider Name DR. M.D. Ronald Lee Gross
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3765 Riverdale Ave, Suite 5, Bronx, NY, US
Provider Mailing Address 3765 Riverdale Ave, Suite 5, Bronx, NY, US, 104631845
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

208D00000X

Taxonomy Name General Practice Physician
Classification

General Practice

Group

Allopathic & Osteopathic Physicians

License No. 196995
License State NY
Description Definition to come...

Business Address

DR. M.D. Ronald Lee Gross
3765 Riverdale Ave
Suite 5

Bronx, NY, US

Phone: 718-601-2700
Fax: 718-601-6102

Mailing Address

DR. M.D. Ronald Lee Gross
3765 Riverdale Ave
Suite 5
Bronx, NY, US
ZIP 104631845
Phone: 718-601-2700
Fax: 718-601-6102

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
05926H NY GHI MEDICARE 01
110223109 NY RAILROAD MEDICARE 01
8C858 NY EMPIRE BLUE CROSS BLUE SH 01
01634197 NY MEDICAID 05
1043328289 NY NPI 01

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