Organization
SPORTS MEDICINE & SPINE REHAB, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GEORGE GREGORACE DO (MEDICAL DIRECTOR)
(516) 485-5060
Entity
Organization
Contact information
Practice address
160 N FRANKLIN ST, HEMPSTEAD, NY 11550-1317
(516) 485-5060
(516) 485-4946
Mailing address
114 WHITNEY ST, WESTBURY, NY 11590-1831
(516) 333-1452
(516) 876-1038
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
198594
NY
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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