Individual
GREGORY VERGITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
200 WIRELESS BLVD, HAUPPAUGE, NY 11788-3974
(631) 853-7373
Mailing address
225 BEAVER DR, MASTIC BEACH, NY 11951-2816
(631) 275-0584
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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