Individual
DR. BARRY L GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W MAIN ST, SUITE 110, BABYLON, NY 11702-3027
(631) 376-2663
(631) 376-4800
Mailing address
500 W MAIN ST, SUITE 110, BABYLON, NY 11702-3027
(631) 376-2663
(631) 376-4800
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
145236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00825452
—
NY
01
—
1666152
AETNA
NY
01
—
4739F1
BC/BS
NY
01
—
CS396
OXFORD
NY
Enumeration date
07/11/2006
Last updated
06/16/2010
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