Individual
DR. JORDON GUY GRUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
50 NEW SCOTLAND AVE # MC-41, ALBANY, NY 12208-3403
(518) 262-5575
Mailing address
30 STARBUCK DR UNIT 208, GREEN ISLAND, NY 12183-1264
(484) 223-9635
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
306555
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2014
Last updated
09/02/2022
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