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Individual

DR. EDWARD SIDNEY GREGORY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2094 PITKIN AVE, BROOKLYN, NY 11207
(516) 546-7782
Mailing address
31 CEDAR ST, ROOSEVELT, NY 11575
(516) 546-7782
(516) 546-7782

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043115
NY

Other

Enumeration date
05/27/2006
Last updated
07/08/2007
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