Mack, Gregory Irving
Mack, Gregory Irving is an individual health care provider with primary practice located at 345 Kear St Suite 202, Yorktown Heights NY 10598-4425. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mack, Gregory Irving can be contacted via phone (845) 282-3367.Contact Information
Primary practice address
345 Kear St Suite 202
Yorktown Heights NY 10598-4425
Phone: (845) 282-3367
Fax: (914) 743-1613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 016597 | New York |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 016597 | New York |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 016597 | New York |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 016597 | New York |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 016597 | New York |
Profile Details
| NPI number | 1669523106 |
|---|---|
| LBN Legal business name | Mack, Gregory Irving |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Feb 25th, 2017 - about 7 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 | 1669523106 | NPPES |
| New York | MEDICAID | 03577942 |
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