Gruber, Jack
Gruber, Jack is an sole proprietor health care provider with primary practice located at 54 Old Pond Rd , Great Neck NY 11023-1031. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Gruber, Jack can be contacted via phone (516) 466-3605.Contact Information
Primary practice address
54 Old Pond Rd
Great Neck NY 11023-1031
Phone: (516) 466-3605
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 028946 | New York |
Profile Details
| NPI number | 1457424186 |
|---|---|
| LBN Legal business name | Gruber, Jack |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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