MEDICARE: GREGORY VURTURE

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
1	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	328478	NY

General Provider Information

NPI Number	:	1235750985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY VURTURE

Provider Business Mailing Address
First Line	:	2664 WINDSOR AVE
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-1145
Country	:	US
Telephone Number	:	516-764-1413
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 WATERS PL
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2720
Country	:	US
Telephone Number	:	718-944-3838
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2020
Last Update Date	:	03/17/2026

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Directions to “ GREGORY VURTURE ” Practice Location

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