Individual
ANN MARIE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
79 NORTH ST, GRANVILLE FAMILY HEALTH, GRANVILLE, NY 12832-1137
(518) 642-0612
(518) 642-0693
Mailing address
PO BOX 304, GLENS FALLS, NY 12801-0304
(518) 642-0612
(518) 642-0693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F333023
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02327080
—
NY
01
—
P00211401
RR MEDICARE
NY
Enumeration date
11/03/2005
Last updated
06/07/2012
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