Gruss, Mary S

Gruss, Mary S is an individual health care provider with primary practice located at 400 Patroon Creek Blvd Suite 100, Albany NY 12206-5014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gruss, Mary S can be contacted via phone (518) 445-4444.

Contact Information

Primary practice address
400 Patroon Creek Blvd Suite 100 Albany NY 12206-5014
Fax: (518) 168-1665
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302625 New York

Profile Details

NPI number 1013909043
LBN Legal business name Gruss, Mary S
Credentials ANP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Sep 13th, 2011 - about 13 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 1013909043 NPPES
New York MEDICAID 02643016

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