Individual
GREGORY W SMALLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6511 BOOTH ST APT 1C, REGO PARK, NY 11374-4184
(718) 806-1434
Mailing address
6511 BOOTH ST APT 1C, REGO PARK, NY 11374-4184
(718) 806-1434
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F4314821
NY
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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