Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1083917215 |
---|---|
Provider Name | Mrs. Cynthia (cindy) Marti Gross |
First Address | Great Neck, NY 11021-1031 |
Second Address | Great Neck, NY 11021-1031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2010 |
Last Update Date | 09/12/2010 |