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Individual
GREGORY MICHAEL PITTMAN
Active
Individual
GREGORY MICHAEL PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049222
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049222
NEW YORK STATE OFFICE OF PROFESSIONS
NY
Enumeration date
08/15/2022
Last updated
08/15/2022
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