Provider Demographics
NPI:1316054588
Name:GRUEN, AMY BETH (DO)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:BETH
Last Name:GRUEN
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Gender:F
Credentials:DO
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Mailing Address - Street 1:STONY BROOK ANESTHESIOLOGY UFPC
Mailing Address - Street 2:HEALTH SCIENCE CENTER LEVEL 4 #060
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8480
Mailing Address - Country:US
Mailing Address - Phone:631-444-2975
Mailing Address - Fax:631-444-2907
Practice Address - Street 1:STONY BROOK ANESTHESIOLOGY UFPC
Practice Address - Street 2:HEALTH SCIENCE CENTER LEVEL 4 #060
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8480
Practice Address - Country:US
Practice Address - Phone:631-444-2975
Practice Address - Fax:631-444-2907
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2013-11-04
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Provider Licenses
StateLicense IDTaxonomies
FLOS 9910207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology