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Bradley P Gross
Mental Health Counselor in Coram, New York
NPI 1508526104

Bradley P Gross is a Mental Health Counselor based in Coram, NY and is specialized in Mental Health. Bradley P Gross practices in Coram, NY. The NPI Number for Bradley P Gross is 1508526104 and holds a License No. (New York).

The current practice location address for Bradley P Gross is 3600 Route 112, Coram, NY and can be reached out via phone at 631-920-8500.

Location: 3600 Route 112, Coram, NY, 11727-4116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508526104
Provider Name
Bradley P Gross
Credential
Provider Entity Type
Individual
Gender
Male
Address
3600 Route 112, Coram, NY, 11727-4116
Phone Number
631-920-8500
Fax Number
Provider Enumeration Date
12/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8500
Fax Number
person
Provider Business Mailing Address Details
Address
3600 Route 112
City
Coram
State
New York
Zip
11727-4116
Phone Number
631-920-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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