Anderson, Greggory T
Anderson, Greggory T is an individual health care provider with primary practice located at 4 Walnut Street , Coram NY 11727. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Anderson, Greggory T can be contacted via phone (631) 331-8765.Contact Information
Primary practice address
4 Walnut Street
Coram NY 11727
Phone: (631) 331-8765
Fax: (631) 331-8765
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 010939 | New York |
Profile Details
NPI number | 1316033780 |
---|---|
LBN Legal business name | Anderson, Greggory T |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 5th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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