Most Relevant Information
Provider Data
NPI Number: | 1003469032 |
Provider Name: | MARIA TERESA GRUBMAN FAMILY NP |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | F3440191 |
Most Important Dates
Enumeration Date: | 07/18/2019 |
Last Updated: | 05/23/2024 |
Provider Practice Location
THE CANCER INSTITUTE AT GOOD SAMARITAN HOSPITAL
111 BEACH DR
WEST ISLIP
NY
11795
Practice Location Phone/Fax
Phone: | 6314178600 |
Fax: |
Provider Mailing Location
559 FIRE ISLAND AVE
BABYLON
NY
117024415
Provider Mailing Phone/Fax
Phone: | 5166696677 |
Fax: |