Healthcare Provider Details

I. General information

NPI: 1376126920
Provider Name (Legal Business Name): FRANCES GABHRIEL ROSS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2021
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 FRANKLIN AVE FL 3
GARDEN CITY NY
11530-1617
US

IV. Provider business mailing address

1111 FRANKLIN AVE FL 3
GARDEN CITY NY
11530-1617
US

V. Phone/Fax

Practice location:
  • Phone: 516-663-4600
  • Fax:
Mailing address:
  • Phone: 516-492-0204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number33140
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: