DR. GREGGORY T ANDERSON


Address: 4 Walnut Street, Coram, NY 11727
Phone: 6313318765

DR. GREGGORY T ANDERSON (NPI# 1316033780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316033780
Entity Type Individual
Full Name DR. GREGGORY T ANDERSON
Credential PHD
Practice Address 4 Walnut Street
Coram
NY 11727
Practice Telephone 6313318765
Practice Fax Number 6313318765
Mailing Telephone 6313318765
Mailing Fax Number 6313318765
Enumeration Date 2006-10-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
010939 NY Behavioral Health & Social Service Providers

Other Providers GREGGORY ANDERSON

NPI Name Taxonomy Address Enumeration
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Office Location

Street Address 4 WALNUT STREET
City CORAM
State NY
Zip Code 11727

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City CORAM
Zip Code 11727

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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