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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