Dr. Ronald Lee Gross
General Practice Physician
3765 Riverdale Ave Suite 5
Bronx
, New York 10463-1845
Dr. Ronald Lee Gross
General Practice Physician
3765 Riverdale Ave Suite 5
Bronx
, New York 10463-1845
(718) 601-6102
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Ronald Lee Gross
- 3765 Riverdale Ave Suite 5
- Bronx, NY
- Zip : 10463-1845
- Fax : (718) 601-6102
- Phone : (718) 601-2700
Second Address
- Dr. Ronald Lee Gross
- 3765 Riverdale Ave Suite 5
- Bronx, NY
- Zip : 10463-1845
- Fax : (718) 601-6102
- Phone : (718) 601-2700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 196995 | NY |
National Provider Identifier
| NPI | 1043328289 |
|---|---|
| Provider Name | Dr. Ronald Lee Gross |
| First Address | Bronx, NY 10463-1845 |
| Second Address | Bronx, NY 10463-1845 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2006 |
| Last Update Date | 05/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01634197 | (05) | NY |
| 05926H | GHI MEDICARE (01) | NY |
| 1043328289 | NPI (01) | NY |
| 110223109 | RAILROAD MEDICARE (01) | NY |
| 8C858 | EMPIRE BLUE CROSS BLUE SH (01) | NY |
| G02082 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.