Organization
UPSTATE DERMATOLOGY, PC
Active
Organization
UPSTATE DERMATOLOGY, PC
Active
Other names
Upper Hudson Valley Dermatology, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY NEAL GREGORY M.D. (PRESIDENT)
(518) 694-5317
Entity
Organization
Contact information
Practice address
1547 COLUMBIA TPKE, CASTLETON, NY 12033-9543
(518) 479-4156
Mailing address
1547 COLUMBIA TPKE, CASTLETON, NY 12033-9543
(518) 479-4156
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
173589
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070014246
RAILROAD MEDICARE (PTAN)
NY
Enumeration date
05/12/2006
Last updated
08/04/2015
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