Individual provider · Type 1 NPI
Michael Benjamin Gross, RN
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1083487698
Active
Practice location
611 W 171st St Apt 4B
New York, NY 10032-1948
Mailing address
539 W 163rd St Apt 5
New York, NY 10032-5703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 013311 (NY) |
| Registered Nurse | 163W00000X | 90865401 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 407139 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1083487698
Michael Benjamin Gross, RN's National Provider Identifier is 1083487698, issued on Nov 6, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Jun 9, 2025.