Regina A Gruber, MD | |
888 Pulaski Hwy, Goshen, NY 10924-6034 | |
(845) 651-2298 | |
(845) 651-2299 |
Full Name | Regina A Gruber |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 888 Pulaski Hwy, Goshen, 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 |
---|---|---|---|
1861414831 | NPI | - | NPPES |
02337382 | Medicaid | NY | |
00473038 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 220741 (New York) | Primary |
Entity Name | Sun River Health Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
Mailing Address | Practice Location Address |
---|---|
Regina A Gruber, MD 1037 Main St, Credentialing, Peekskill, NY 10566-2913 Ph: (914) 734-8858 | Regina A Gruber, MD 888 Pulaski Hwy, Goshen, NY 10924-6034 Ph: (845) 651-2298 |
Ms. Alicia Marie Pointer, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 124 Main St, Goshen, NY 10924 Phone: 845-360-6603 | |
James N. Wapshare, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2002 Route 17m, Suite 8, Goshen, NY 10924 Phone: 845-291-7059 Fax: 845-291-0905 | |
Dr. Mohamed Sayed Mohamed Ali, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 102 Clowes Ave, Goshen, NY 10924 Phone: 845-333-7200 |