Individual
MS. MARIE CARMEL GRUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
158 WEST 56TH STREET, SUITE 1804, NEW YORK, NY 10019
(212) 662-9200
Mailing address
42 ACKERMAN PL, NYACK, NY 10960-2106
(646) 379-2742
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
192211021
NY
405300000X
Prevention Professional
Primary
902106991
NY
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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