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Individual
MR. PAUL L GRUMBACK
Active
Individual
MR. PAUL L GRUMBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0012381
NY
225100000X
Physical Therapist
Primary
0059051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20137P
HIP
NY
01
—
2119754
VUTRA
NY
01
—
6601380
GHI
NY
01
—
8080257
UHC EMPIRE PLAN
NY
01
—
A497485
OXFORD
NY
Enumeration date
10/20/2005
Last updated
07/13/2026
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