Individual
DR. PETER J. GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, MONTEFIORE MEDICAL CENTER - EMERGENCY DEPARTMENT, BRONX, NY 10467-2401
(718) 920-2323
Mailing address
40 WOOLEYS LN, GREAT NECK, NY 11023-2232
(516) 759-7721
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
188396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01365448
—
NY
Enumeration date
12/01/2006
Last updated
07/08/2007
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