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Individual

DR. GREG GULBRANSEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
229 SOUTH ST, OYSTER BAY, NY 11771-2910
(516) 922-3131
(516) 922-5218
Mailing address
229 SOUTH ST, OYSTER BAY, NY 11771-2910
(516) 922-3131
(516) 922-5218

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
205715-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0099840-002
CIGNA
NY
05
02232162
NY
01
108783
VYTRA
NY
01
1938888002
UNITED HEALTH
NY
01
2698521
GHI
NY
01
2C7659
PHCS
NY
01
7734061
AETNA
NY
01
NS0002187
SELECT PRO
NY
01
OB203
BLUE CROSS
NY
01
P2160711
OXFORD
NY
Enumeration date
07/08/2005
Last updated
07/08/2007
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