Ms. Mary S Gruss
Nurse Practitioner - Adult Health
400 Patroon Creek Blvd Suite 100
Albany
, New York 12206-5014
Ms. Mary S Gruss
Nurse Practitioner - Adult Health
400 Patroon Creek Blvd Suite 100
Albany
, New York 12206-5014
(518) 168-1665
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Ms. Mary S Gruss
- 400 Patroon Creek Blvd Suite 100
- Albany, NY
- Zip : 12206-5014
- Fax : (518) 168-1665
- Phone : (518) 445-4444
Second Address
- Ms. Mary S Gruss
- 400 Patroon Creek Blvd Suite 100
- Albany, NY
- Zip : 12206-5014
- Fax : (518) 168-1665
- Phone : (518) 445-4444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | F302625 | NY |
National Provider Identifier
| NPI | 1013909043 |
|---|---|
| Provider Name | Ms. Mary S Gruss |
| First Address | Albany, NY 12206-5014 |
| Second Address | Albany, NY 12206-5014 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2005 |
| Last Update Date | 13/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02643016 | (05) | NY |
| Q48284 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.