Individual provider · Type 1 NPI
Jordon Guy Grube, DO
Otolaryngology/Facial Plastic Surgery Physician · Albany, NY
NPI number
1114346566
Active
Practice location
50 New Scotland Ave # MC-41
Albany, NY 12208-3403
Mailing address
30 Starbuck Dr Unit 208
Green Island, NY 12183-1264
Other practice locations
- 94 Old Short Hills Rd, Livingston, NJ 07039-5672 · (973) 322-5000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 306555 (NY) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
About NPI 1114346566
Jordon Guy Grube, DO's National Provider Identifier is 1114346566, issued on Apr 14, 2014. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Albany, NY. The record was last updated on Sep 2, 2022.