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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | GROSSO GINO · Gino Grosso | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Gino | [sources] | |||
| ID Number | 00127729 · MD018198E | [sources] | |||
| Last name | Grosso | [sources] | |||
| NPI | 1063436491 | [sources] | |||
| Sector | Physician | [sources] | |||
| Title | MD | [sources] | |||
| Address | Philadelphia, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-medpa-2a44f8ba2e85891a5f117b8037556899dc758c84 · us-medny-b8942cd66cfdf3a718d67444b3960f3b531028dcFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New York State Office of the Medicaid Inspector General | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Philadelphia, PA | United States | |
| United States | Department of Human Services | - | - |