| Brian Gruber, PA | |
|
200 White Plains Rd Ste 110, Tarrytown, NY 10591-5805 | |
| (914) 848-4343 | |
| (914) 306-7006 |
| Full Name | Brian Gruber |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 200 White Plains Rd Ste 110, Tarrytown, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780728626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 007449-1 (New York) | Primary |
| Entity Name | Optum Medical Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Entity Name | David Daniel MD PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760884019 PECOS PAC ID: 3173846169 Enrollment ID: O20141224000010 |
| Entity Name | Statline Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942872759 PECOS PAC ID: 7214333525 Enrollment ID: O20210913002004 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Gruber, PA 3 Sonoma Rd, Cortlandt Manor, NY 10567-5129 Ph: (914) 215-4748 | Brian Gruber, PA 200 White Plains Rd Ste 110, Tarrytown, NY 10591-5805 Ph: (914) 848-4343 |
Jamie Liang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 658 White Plains Rd, Tarrytown, NY 10591 Phone: 888-636-7840 Fax: 267-479-1321 |
Dawna L. Dennis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 155 White Plains Rd Ste 109, Tarrytown, NY 10591 Phone: 914-366-6139 |
Michael Tavano, PA-C, RT(R) Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 155 White Plains Rd Ste 100w, Tarrytown, NY 10591 Phone: 646-317-3354 |
Erica Ilene Scarrone, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 155 White Plains Rd Ste 109, Tarrytown, NY 10591 Phone: 914-829-8200 Fax: 914-829-8201 |