Individual
MS. LUIS GRUBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 RESEARCH WAY, EAST SETAUKET, NY 11733
(631) 444-1069
Mailing address
PO BOX 1559, STONY BROOK, NY 11790
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
002687
NY
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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