Individual
DEBORAH GRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
85 W BURNSIDE AVE, BRONX, NY 10453-4015
(718) 483-1270
Mailing address
475 W 186TH ST, APT 4G, NEW YORK, NY 10033-2903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6139691
NY
363LF0000X
Family Nurse Practitioner
Primary
F337735-1
NY
Other
Enumeration date
12/19/2012
Last updated
11/23/2013
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