Individual
DR. CLYDE GREGOIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-7373
(718) 907-4939
Mailing address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
118547
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00425838
—
NY
Enumeration date
07/05/2006
Last updated
10/12/2007
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