| Mallory Grosso, | |
|
1275 York Ave, New York, NY 10065-6007 | |
| (212) 639-2000 | |
| Not Available |
| Full Name | Mallory Grosso |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 1275 York Ave, New York, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558833160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 4368 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Vincent's Medical Center | Bridgeport, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1180 |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Grosso, 515 West Ave Ph 38, Norwalk, CT 06850-4051 Ph: () - | Mallory Grosso, 1275 York Ave, New York, NY 10065-6007 Ph: (212) 639-2000 |
Mr. Martin Haynes Nicol Sr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2367-69 2nd Ave, New York, NY 10035 Phone: 212-876-2300 Fax: 212-369-8209 | |
Mrs. Rachel T. Freeman, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 160 E 53rd St, 3rd Floor, New York, NY 10022 Phone: 212-610-0067 | |
Geraldine Deguzman-javier, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16th St. And 1st Ave., New York, NY 10003 Phone: 212-420-2121 | |
Allison C. Santhouse, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 115 E 57th St, Suite 710, New York, NY 10022 Phone: 212-750-8900 Fax: 908-281-7796 | |
Sarah E. Mccord, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 E 70th St, New York, NY 10021 Phone: 212-606-1585 Fax: 917-260-3185 | |
Miss Sharona Deborah Kashimallak, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 462 1st Ave, New York, NY 10016 Phone: 516-578-9951 | |
Rena Dymersky, RPA-C, MS Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Gustave L Levy Pl, New York, NY 10029 Phone: 212-241-6500 |