Individual
MR. BENJAMIN W GRUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 PARK AVE RM 1600, NEW YORK, NY 10017-5538
(347) 229-6356
Mailing address
215 W 92ND ST APT 14A, NEW YORK, NY 10025-7480
(917) 597-2813
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P125291
NY
Other
Enumeration date
10/19/2023
Last updated
10/19/2023
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