Individual
DENNIS GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1430 CLOVE RD STE 1, STATEN ISLAND, NY 10301-4300
(718) 791-2946
(718) 420-0275
Mailing address
1430 CLOVE RD STE 1, STATEN ISLAND, NY 10301-4300
(718) 791-2946
(718) 420-0275
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
014248-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02063963
—
NY
Enumeration date
06/22/2006
Last updated
03/07/2024
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