JONATHAN GROSSMAN

BAY SHORE, NY
NPI1578528667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  R043922-1)
Enumeration Date2006-04-20
Last Update Date2012-04-03
Business Address
-- JONATHAN GROSSMAN LCSW
1855 UNION BLVD
BAY SHORE, NY 11706-7949
Phone number: 631-580-9364
Mailing Address
-- JONATHAN GROSSMAN LCSW
90 DIAMOND ST
RONKONKOMA, NY 11779-2125
Phone number: 631-580-9364
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