Individual
DR. GREGG ATLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
427 BROADWAY, SUITE 2, MONTICELLO, NY 12701-1742
(845) 794-7741
(845) 794-0228
Mailing address
427 BROADWAY, SUITE 2, MONTICELLO, NY 12701-1742
(845) 794-7741
(845) 794-0228
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N0055501
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01948732
—
NY
01
—
0441090001
MEDICARE DMERC
NY
Enumeration date
06/15/2006
Last updated
02/12/2013
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