Gross, Stefanie Ann
Gross, Stefanie Ann is an individual health care provider with primary practice located at 35 Dock St Andrus Children'S Center, Yonkers NY 10701-2733. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gross, Stefanie Ann can be contacted via phone (914) 965-1109.Contact Information
Primary practice address
35 Dock St Andrus Children'S Center
Yonkers NY 10701-2733
Phone: (914) 965-1109
Fax: (914) 965-9705
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 082622 | New York |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 079681 | New York |
Profile Details
NPI number | 1396930624 |
---|---|
LBN Legal business name | Gross, Stefanie Ann |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 10th, 2007 |
Last updated | Oct 7th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1396930624 | NPPES |
New York | Other | 00355940 | AGENCY MEDICAID # |
New York | Other | WVE061 | AGENCY MEDICAID # |
New York | Other | 1285628552 | AGENCY MEDICAID # |
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