Individual
GREGORY BOTTARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
179 HAMILTON AVE, GREENWICH, CT 06830
(347) 705-0406
Mailing address
64 RICHLAND RD, GREENWICH, CT 06830-6053
(860) 455-8988
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
020541
NY
Other
Enumeration date
04/17/2014
Last updated
07/18/2018
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