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Individual

DR. STEPHEN P GREGGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
196 DELAWARE AVE, DELMAR, NY 12054-1227
(518) 439-0033
(518) 439-7161
Mailing address
402 UNION ST, SCHENECTADY, NY 12305-1119
(518) 374-7555
(518) 374-6898

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
010740-1
NY
103T00000X
Psychologist
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01242777
NY
Enumeration date
08/23/2005
Last updated
11/06/2007
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