Provider Demographics
NPI:1073799847
Name:GROSS, RACHEL SHARON (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SHARON
Last Name:GROSS
Suffix:
Gender:F
Credentials:MD, MS
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Mailing Address - Street 1:130 E 94TH ST
Mailing Address - Street 2:APT 3E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1757
Mailing Address - Country:US
Mailing Address - Phone:212-717-7763
Mailing Address - Fax:
Practice Address - Street 1:3444 KOSSUTH AVE
Practice Address - Street 2:FAMILY CARE CENTER, PEDIATRIC PRACTICE C
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2410
Practice Address - Country:US
Practice Address - Phone:718-920-2655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2011-10-11
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Provider Licenses
StateLicense IDTaxonomies
NY244772208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics