Gruber, Barry L

Gruber, Barry L is an individual health care provider with primary practice located at 500 W Main St Suite 110, Babylon NY 11702-3027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Gruber, Barry L can be contacted via phone (631) 376-2663.

Contact Information

Primary practice address
500 W Main St Suite 110 Babylon NY 11702-3027
Phone: (631) 376-2663
Fax: (631) 376-4800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 145236 New York

Profile Details

NPI number 1710912431
LBN Legal business name Gruber, Barry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 16th, 2010 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710912431 NPPES
New York Other 4739F1 BC/BS
New York MEDICAID 00825452 BC/BS
New York Other CS396 BC/BS
New York Other 1666152 BC/BS

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