Provider Demographics
NPI:1598651762
Name:LEVI Y GROSSER DMD PC
Entity type:Organization
Organization Name:LEVI Y GROSSER DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEVI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GROSSER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:516-398-4110
Mailing Address - Street 1:188 DONAHUE AVE
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-1052
Mailing Address - Country:US
Mailing Address - Phone:516-398-4110
Mailing Address - Fax:
Practice Address - Street 1:222 ROCKAWAY TPKE
Practice Address - Street 2:
Practice Address - City:CEDARHURST
Practice Address - State:NY
Practice Address - Zip Code:11516-1833
Practice Address - Country:US
Practice Address - Phone:516-253-5292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty