Healthcare Provider Details

I. General information

NPI: 1891171237
Provider Name (Legal Business Name): REBECCA LEANNE GREGOR PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA LEANNE ALBRECHT

II. Dates (important events)

Enumeration Date: 08/08/2015
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 CAREW ST
SPRINGFIELD MA
01104-2377
US

IV. Provider business mailing address

63 NORTH ST
ENFIELD CT
06082-3915
US

V. Phone/Fax

Practice location:
  • Phone: 413-748-9000
  • Fax:
Mailing address:
  • Phone: 413-636-5347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA5433
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: