Elise F. Grossman | New York, NY • PECOS Search

Elise F. Grossman

Counselor

Behavioral Health & Social Service Providers

340 E. 24th Street, Icd, New York, NY 10010

(212) 585-6254 (718) 849-8435

PECOS Enrollment

Based on the most recent information from CMS, provider Elise F. Grossman does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:42 AM.

Profile Details

Provider ID
1316023344
Provider Type
Individual
Full Name
Grossman, Elise F.
Title
Ms.
Credential
M.A., CRC

Gender
Female
Sole Proprietor
No
Enumeration Date
10/31/2006
Last Updated
7/8/2007

Contact Information

Practice Location

340 E. 24th Street, Icd, New York, NY 10010

(212) 585-6052

Mailing Location

8451 Beverly Rd, Apt. 1n, Kew Gardens, NY 11415-2123

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License C026639 New York