Michael B. Grosso
Adolescent Medicine
241 E Main St
Huntington
, New York 11743-2924
Michael B. Grosso
Adolescent Medicine
241 E Main St
Huntington
, New York 11743-2924
(631) 351-4561
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Michael B. Grosso
- 241 E Main St
- Huntington, NY
- Zip : 11743-2924
- Fax : (631) 351-4561
- Phone : (631) 367-5300
Second Address
- Michael B. Grosso
- 241 E Main St
- Huntington, NY
- Zip : 11743-2924
- Fax : (631) 351-4561
- Phone : (631) 367-5300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 151788-1 | NY |
National Provider Identifier
| NPI | 1184634503 |
|---|---|
| Provider Name | Michael B. Grosso |
| First Address | Huntington, NY 11743-2924 |
| Second Address | Huntington, NY 11743-2924 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00966312 | (05) | NY |
| C09002 | (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.