Individual
CHRISTOPHER JOSEPH GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, ATC
Contact information
Practice address
631 HOWARD AVE, STATEN ISLAND, NY 10301-4422
(718) 390-3100
Mailing address
14 SAGEBRUSH LN, KINGS PARK, NY 11754-3934
(631) 873-5605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003996
NY
2255A2300X
Athletic Trainer
0126002623
VA
2255A2300X
Athletic Trainer
104.0133074
VT
Other
Enumeration date
07/24/2018
Last updated
12/05/2022
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