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Individual
KRISTA ANN GREGORY
Active
Individual
KRISTA ANN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
014115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03219014
—
NY
Enumeration date
10/27/2009
Last updated
01/30/2017
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