Individual
GREGORY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 NEW SCOTLAND AVE, ALBANY, NY 12208-3474
(518) 546-6670
Mailing address
75 NEW SCOTLAND AVE, ALBANY, NY 12208-3474
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
662210-01
NY
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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