NPI 1013741750

Samuel Grubb

Practitioner Peer Specialist Poughkeepsie, NY

Practice location

Address: 230 North Rd, Poughkeepsie, NY 12601-1328
Phone: (845) 452-2728
Mailing address: 102 Fulton Ave, Poughkeepsie, NY 12603-2857

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1013741750
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Aug 2024
Record last updated: 27 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.