Individual
GREGORY DAVID BEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., ATC, CSCS
Contact information
Practice address
4041 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-2100
(716) 270-2865
(716) 270-2827
Mailing address
4041 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-2100
(716) 270-2865
(716) 270-2827
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000656
NY
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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