SARAH ELIZABETH GRUBE

STONY BROOK, NY
NPI1134728686
Former NameSARAH ELIZABETH POWELL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  027609)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-10-25
Last Update Date2021-10-28
Business Address
SARAH ELIZABETH GRUBE PA-C
100 NICOLLS RD RM 80
STONY BROOK, NY 11794-1667
Phone number: 631-444-1116
Mailing Address
SARAH ELIZABETH GRUBE PA-C
100 NICOLLS RD RM 80
STONY BROOK, NY 11794-8122
Phone number: 631-444-1116