Conners, Gregory
Conners, Gregory is an individual health care provider with primary practice located at 750 East Adams St , Syracuse NY 13210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Conners, Gregory can be contacted via phone (315) 464-5450.Contact Information
Primary practice address
750 East Adams St
Syracuse NY 13210
Phone: (315) 464-5450
Fax: (315) 464-6322
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 194992 | New York |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2009009261 | Missouri |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 2009009261 | Missouri |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 194992 | New York |
Profile Details
NPI number | 1417976986 |
---|---|
LBN Legal business name | Conners, Gregory |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2006 |
Last updated | Feb 27th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417976986 | NPPES |
New York | MEDICAID | 01720878 |
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