Atlas, Gregg

Atlas, Gregg is an individual health care provider with primary practice located at 427 Broadway Suite 2, Monticello NY 12701-1742. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Atlas, Gregg can be contacted via phone (845) 794-7741.

Contact Information

Primary practice address
427 Broadway Suite 2 Monticello NY 12701-1742
Fax: (845) 794-0228
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X N0055501 New York

Profile Details

NPI number 1669416574
LBN Legal business name Atlas, Gregg
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 12th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669416574 NPPES
New York MEDICAID 01948732
New York Other 0441090001

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