Individual provider · Type 1 NPI

Fani Gruber, PA

Medical Physician Assistant · New York, NY

NPI number 1013360049 Active

Practice location

169 Madison Ave Ste 15370
New York, NY 10016-5101

Mailing address

600 Northern Blvd
Albany, NY 12204-1004

Other practice locations

  • 1300 Massachusetts Ave, Troy, NY 12180-1628 · (518) 268-5234
  • 600 Northern Blvd, Albany, NY 12204-1004 · (518) 471-3221

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X23 019861 (NY)

Medical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1013360049

Fani Gruber, PA's National Provider Identifier is 1013360049, issued on Jul 14, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on May 20, 2025.