Gruber, Dennis
Gruber, Dennis is an individual health care provider with primary practice located at 1430 Clove Rd Ste 1 , Staten Island NY 10301-4300. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gruber, Dennis can be contacted via phone (718) 791-2946.Contact Information
Primary practice address
1430 Clove Rd Ste 1
Staten Island NY 10301-4300
Phone: (718) 791-2946
Fax: (718) 420-0275
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 014248-1 | New York |
Profile Details
| NPI number | 1053357269 |
|---|---|
| LBN Legal business name | Gruber, Dennis |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Mar 7th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053357269 | NPPES |
| New York | MEDICAID | 02063963 |
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