Healthcare Provider Details

I. General information

NPI: 1629997325
Provider Name (Legal Business Name): ALEXANDER GREGER RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 I U WILLETS RD
ALBERTSON NY
11507-1516
US

IV. Provider business mailing address

366 BEACHVIEW ST
COPIAGUE NY
11726-3104
US

V. Phone/Fax

Practice location:
  • Phone: 516-465-1400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberN34020
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: