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Dr. Jordon Guy Grube, DO
Otolaryngology/Facial Plastic Surgery Physician in Albany, New York
NPI 1114346566

Jordon Guy Grube is a Otolaryngology/Facial Plastic Surgery Physician based in Green Island, NY and is specialized in Otolaryngology/Facial Plastic Surgery. Jordon Guy Grube practices in Albany, NY and has the professional credentials of DO. The NPI Number for Jordon Guy Grube is 1114346566 and holds a License No. (New York).

The current practice location address for Jordon Guy Grube is 50 New Scotland Ave # Mc-41, Albany, NY and can be reached out via phone at 518-262-5575.

Location: 50 New Scotland Ave # Mc-41, Albany, NY, 12183-1264
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114346566
Provider Name
Jordon Guy Grube
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
50 New Scotland Ave # Mc-41, Albany, NY, 12183-1264
Phone Number
518-262-5575
Fax Number
Provider Enumeration Date
04/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
50 New Scotland Ave # Mc-41
City
Albany
State
New York
Zip
12208-3403
Phone Number
518-262-5575
Fax Number
person
Provider Business Mailing Address Details
Address
50 New Scotland Ave # Mc-41
City
Albany
State
New York
Zip
12208-3403
Phone Number
518-262-5575
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
306555 (New York)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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