Organization
SOUTH WINDSOR NECK AND BACK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW P GREGORY (OWNER MANAGER)
(860) 644-2437
Entity
Organization
Contact information
Practice address
1330 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2713
(860) 644-2437
(860) 644-8590
Mailing address
1330 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2713
(860) 644-2437
(860) 644-8590
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
011490
CT
111NN0400X
Neurology Chiropractor
001133
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114961703
ANDREW GREGORY NPI SOLO
CT
01
—
1922042563
ROSANNE GREGORY NPI SOLO
CT
01
—
C03101
MEDICARE GROUP NUMBER
CT
Enumeration date
04/25/2007
Last updated
09/11/2025
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