NPI 1659054187

Marie Carmel Grube

Practitioner Prevention Professional New York, NY

Practice location

Address: 158 West 56th Street Suite 1804, New York, NY 10019
Phone: (212) 662-9200
Mailing address: 42 Ackerman Pl, Nyack, NY 10960-2106

Registered specialties (2)

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 902106991 (NY)

Other Prevention Professional providers in New York →

Prevention Professional

Other Service Providers Taxonomy 405300000X Licence 192211021 (NY)

Registry record

NPI: 1659054187
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2023
Record last updated: 10 Aug 2023

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.