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1013360049
FANI GRUBER
ALBANY, NY
NPI
1013360049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 23 019861)
Enumeration Date
2016-07-14
Last Update Date
2018-03-17
Business Address
FANI GRUBER PA
600 NORTHERN BLVD
ALBANY, NY 12204-1004
Phone number: 518-471-3221
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Mailing Address
FANI GRUBER PA
600 NORTHERN BLVD
ALBANY, NY 12204-1004
Phone number: 518-471-3221
Copy
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