Gruis, Kirsten L

Gruis, Kirsten L is an individual health care provider with primary practice located at 90 Presidential Plz 4Th Floor - Neurology, Syracuse NY 13202-2240. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neuromuscular Medicine is her primary health care specialty. Gruis, Kirsten L can be contacted via phone (315) 464-4243.

Contact Information

Primary practice address
90 Presidential Plz 4Th Floor - Neurology Syracuse NY 13202-2240
Phone: (315) 464-4243
Fax: (315) 464-5350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2084N0008X 263856 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 263856 New York

Profile Details

NPI number 1225127194
LBN Legal business name Gruis, Kirsten L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Dec 13th, 2012 - about 12 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 1225127194 NPPES
New York MEDICAID 03423003

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