Individual
MEGAN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-6628
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-5437
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
801979
NY
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
350515
NY
Other
Enumeration date
08/13/2020
Last updated
05/06/2021
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