Provider Demographics
NPI:1689385395
Name:GROSZ, REY (RN)
Entity type:Individual
Prefix:
First Name:REY
Middle Name:
Last Name:GROSZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 RIVERSIDE DR APT 16C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6581
Mailing Address - Country:US
Mailing Address - Phone:347-465-3278
Mailing Address - Fax:
Practice Address - Street 1:54 RIVERSIDE DR APT 16C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6581
Practice Address - Country:US
Practice Address - Phone:347-465-3278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-13
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9640128163W00000X
CA95167177163W00000X
NV852127163W00000X
NY729404163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
9289OtherCARE