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Hayley Beth Gruber
Student in an Organized Health Care Education/Training Program in Lake Ronkonkoma, New York
NPI 1548904212

Hayley Beth Gruber is a Student in an Organized Health Care Education/Training Program based in Lake Ronkonkoma, NY. Hayley Beth Gruber practices in Lake Ronkonkoma, NY. The NPI Number for Hayley Beth Gruber is 1548904212 and holds a License No. (New York).

The current practice location address for Hayley Beth Gruber is 65 Dorchester Rd, Lake Ronkonkoma, NY and can be reached out via phone at 631-942-4576.

Location: 65 Dorchester Rd, Lake Ronkonkoma, NY, 11779-1616
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548904212
Provider Name
Hayley Beth Gruber
Credential
Provider Entity Type
Individual
Gender
Female
Address
65 Dorchester Rd, Lake Ronkonkoma, NY, 11779-1616
Phone Number
631-942-4576
Fax Number
Provider Enumeration Date
04/27/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
65 Dorchester Rd
City
Lake Ronkonkoma
State
New York
Zip
11779-1616
Phone Number
631-942-4576
Fax Number
person
Provider Business Mailing Address Details
Address
65 Dorchester Rd
City
Lake Ronkonkoma
State
New York
Zip
11779-1616
Phone Number
631-942-4576
Fax Number
person
Provider's Taxonomy Details 1
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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