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Individual

MS. MARY S GRUSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-C

Contact information

Practice address
400 PATROON CREEK BLVD, SUITE 100, ALBANY, NY 12206-5014
(518) 445-4444
(518) 168-1665
Mailing address
400 PATROON CREEK BLVD, SUITE 100, ALBANY, NY 12206-5014
(518) 445-4444
(518) 168-1665

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302625
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02643016
NY
Enumeration date
08/16/2005
Last updated
09/13/2011
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