Individual
DR. GREGGORY T ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4 WALNUT STREET, CORAM, NY 11727
(631) 331-8765
(631) 331-8765
Mailing address
4 WALNUT STREET, CORAM, NY 11727
(631) 331-8765
(631) 331-8765
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
010939
NY
Other
Enumeration date
10/05/2006
Last updated
05/10/2026
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