Individual
MR. GREGORY SEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(646) 271-9170
Mailing address
1636 LAWRENCE ST, RAHWAY, NJ 07065-5145
(646) 271-9170
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009117
NY
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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