Individual
MRS. LAURIE BURTON-GREGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
501 NEW KARNER RD, SUITE 1A, ALBANY, NY 12205-3882
(518) 452-1337
(518) 724-6660
Mailing address
711 TROY SCHENECTADY RD STE 203, LATHAM, NY 12110-2461
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03273609
—
NY
01
—
161DE1
EMPIRE BLUECROSS
NY
01
—
7436613
AETNA
NY
Enumeration date
08/10/2005
Last updated
01/31/2018
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