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NPI Code Detail

MEDICARE: PATRICIA ANN GREGO

MEDICARE: PATRICIA ANN GREGO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1221700000XArt Therapist001808NY
2101YM0800XMental Health Counselor016908NY

General Provider Information

NPI Number : 1700378841
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN GREGO
Provider Business Mailing Address
First Line : 83 BRAUNSDORF RD
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-1814
Country : US
Telephone Number : 845-641-8232
Fax Number :
Provider Business Practice Location Address
First Line : 275 N MIDDLETOWN RD STE 1D
Second Line :
City : PEARL RIVER
State : NY
Zip : 10965-1189
Country : US
Telephone Number : 845-641-8232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2018
Last Update Date : 10/20/2025

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Directions to “ PATRICIA ANN GREGO ” Practice Location

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