Doctor Name: | DAVID GROSS |
NPI Number: | 1134132830 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 161755 |
Business Practice Address: | 1333 Roanoke Ave Riverhead, NY - 11901 |
Business Phone Number: | 6317272755 |
Business Fax Number: | 6312089521 |
Mailing Address: | 1333 Roanoke Ave, RIVERHEAD |
State: | NY |
Postal Code: | 11901 |
Phone Number: | 6317272755 |
Fax Number: | 6321208952 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 161755 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |