Individual
DR. GINETTE GRUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, MP, RXP
Contact information
Practice address
74-03 COMMONWEALTH BLVD,, MID-CHILDHOOD CLINIC, BLDG 55, BELLEROSE, NY 11426-1839
(718) 264-4500
Mailing address
7403 COMMONWEALTH BLVD, BELLEROSE, NY 11426-1839
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
020108
NY
103TP0016X
Prescribing (Medical) Psychologist
0000008
CO
103TP0016X
Prescribing (Medical) Psychologist
325102
LA
Other
Enumeration date
07/15/2013
Last updated
09/02/2025
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