Staci Gross

NPI #1912796095 in Herkimer, New York

Provider Information

NPI Number: 1912796095
Entity Type: Individual
Name: Staci Gross
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: May 5, 2025
Last Updated: May 5, 2025

Practice Location

Address: 301 N WASHINGTON ST STE 2300
City: Herkimer
State: New York
ZIP Code: 13350-2907
Phone: (315) 867-1441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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