Individual
ALEXANDER JOHN GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-3549
Mailing address
570 LEXINGTON AVE FL 9, NEW YORK, NY 10022-6710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
027016
NY
Other
Enumeration date
04/14/2020
Last updated
08/11/2021
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