| Doctor Name: | JULIA M GROSS |
| NPI Number: | 1114271970 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 337658 |
| Business Practice Address: | 5 Southside Dr Suite 204 Clifton Park, NY - 120653870 |
| Business Phone Number: | 5183719355 |
| Business Fax Number: | 5183739139 |
| Mailing Address: | 711 Troy Schenectady Rd, Suite 201 LATHAM |
| State: | NY |
| Postal Code: | 121102442 |
| Phone Number: | 5187823700 |
| Fax Number: | 5187823799 |
| NPI Enumeration Date: | 11/01/2012 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 337658 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |