Individual provider · Type 1 NPI
Grant Ruback, MEDICAL STUDENT
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1891612255
Active
Practice location
180 Riverside Dr Apt 4A
New York, NY 10024-1047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: 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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About NPI 1891612255
Grant Ruback, MEDICAL STUDENT's National Provider Identifier is 1891612255, issued on Jul 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jul 6, 2026.