Organization
OYSTER BAY PEDIATRICS & ADOLESCENT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG GULBRANSEN DO (PRESIDENT)
(516) 922-3131
Entity
Organization
Contact information
Practice address
229 SOUTH ST, OYSTER BAY, NY 11771-2910
(516) 922-3131
Mailing address
229 SOUTH ST, OYSTER BAY, NY 11771-2910
(516) 922-3131
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
205715
NY
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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