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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1053357269 NPPES
New York MEDICAID 02063963

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