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Individual
TIMOTHY RICHARD GREGORY
Active
Individual
TIMOTHY RICHARD GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R043053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007782292
AETNA
—
01
—
1032020
AFFINITY HEALTH PLAN
—
01
—
164055
VALUEOPTIONS
—
01
—
475049000
MAGELLEN
—
01
—
7406375003
GHI
—
01
—
N63252
EMPIRE BLUE CROSS/SHIELD
—
01
—
N63253
EMPIRE BLUE CROSS/SHIELD
—
01
—
YS112
OXFORD HEALTH PLANS
—
Enumeration date
08/07/2006
Last updated
07/08/2007
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