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1568450203
SHANA GROS
FAR ROCKAWAY, NY
NPI
1568450203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: NY 2360881)
Enumeration Date
2005-10-06
Last Update Date
2007-07-08
Business Address
Ms. SHANA GROS MD
601 JARVIS AVE
FAR ROCKAWAY, NY 11691-5425
Phone number: 718-868-4808
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Mailing Address
Ms. SHANA GROS MD
7318 171ST ST
FLUSHING, NY 11366-1434
Phone number: 718-969-1240
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