Individual
DR. GREGORY PHILLIP RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
564 RIDGE RD E, SUITE 209, ROCHESTER, NY 14621-1233
(585) 544-0695
(585) 544-8029
Mailing address
564 RIDGE RD E, SUITE 209, ROCHESTER, NY 14621-1233
(585) 544-0695
(585) 544-8029
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010866
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139013AN
PREFERRED CARE NUMBER
NY
01
—
7340610
AETNA PROVIDER NUMBER
NY
Enumeration date
06/02/2006
Last updated
07/09/2007
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