Individual
ALAN HOWARD GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 CLINTON AVE S, ROCHESTER, NY 14618-2616
(585) 244-6011
(585) 244-0236
Mailing address
2100 CLINTON AVE S, ROCHESTER, NY 14618-2616
(585) 244-6011
(585) 244-0236
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
154919
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00962721
—
NY
01
—
1073577961
EXCELLUS BCBS
NY
01
—
1356345839
MVP
NY
01
—
180007722
RAILROAD MEDICARE
NY
01
—
P010154919
BCBS
NY
Enumeration date
06/13/2005
Last updated
08/20/2014
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