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:
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Health care specialties

SpecialtyCodeLicense #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 19 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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