Individual provider · Type 1 NPI

Bradley P. Gross

Mental Health Counselor · Coram, NY

NPI number 1508526104 Active

Practice location

3600 Route 112
Coram, NY 11727-4116

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508526104

Bradley P. Gross's National Provider Identifier is 1508526104, issued on Dec 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coram, NY. The record was last updated on Dec 22, 2021.