MEDICARE: DR. JEFFREY M GROSS M.D, F.A.A.P.M.R.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	162734-1	NY

General Provider Information

NPI Number	:	1609877703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY M GROSS M.D, F.A.A.P.M.R.

Provider Business Mailing Address
First Line	:	32 UNION SQ E
Second Line	:	7TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10003-3209
Country	:	US
Telephone Number	:	212-529-5100
Fax Number	:	212-529-6409

Provider Business Practice Location Address
First Line	:	32 UNION SQ E
Second Line	:	7TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10003-3209
Country	:	US
Telephone Number	:	212-529-5100
Fax Number	:	212-529-6409

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	05/03/2023

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