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David Gross, MD
Diagnostic Radiology Physician in Riverhead, New York
NPI 1134132830

David Gross is a Diagnostic Radiology Physician based in Riverhead, NY and is specialized in Diagnostic Radiology. David Gross practices in Riverhead, NY and has the professional credentials of MD. The NPI Number for David Gross is 1134132830 and holds a License No. 161755 (New York).

The current practice location address for David Gross is 1333 Roanoke Ave, Riverhead, NY and can be reached out via phone at 631-727-2755 and via fax at 631-208-9521.

Location: 1333 Roanoke Ave, Riverhead, NY, 11901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134132830
Provider Name
David Gross
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1333 Roanoke Ave, Riverhead, NY, 11901
Phone Number
631-727-2755
Fax Number
631-208-9521
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CF3402 01 NY RR MEDICARE
W11401 01 NY BC/BS
01617165 05 NY
WEU091 01 NY MEDICARE GROUP HR
W22111 01 NY MEDICARE GROUP SHR
institution
Provider Business Practice Location Address Details
Address
1333 Roanoke Ave
City
Riverhead
State
New York
Zip
11901
Phone Number
631-727-2755
Fax Number
631-208-9521
person
Provider Business Mailing Address Details
Address
1333 Roanoke Ave
City
Riverhead
State
New York
Zip
11901
Phone Number
631-727-2755
Fax Number
631-208-9521
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
161755 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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